Miller, Jena Lyn
Miller, Jena Lyn is an individual health care provider with primary practice located at 600 N Wolfe St Nelson 228, Baltimore MD 21287-0005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Miller, Jena Lyn can be contacted via phone (443) 287-9480.Contact Information
Primary practice address
600 N Wolfe St Nelson 228
Baltimore MD 21287-0005
Phone: (443) 287-9480
Fax: (410) 614-1617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 0101247584 | Virginia |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | D65575 | Maryland |
Profile Details
| NPI number | 1992916936 |
|---|---|
| LBN Legal business name | Miller, Jena Lyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Mar 30th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992916936 | NPPES |
| Virginia | Other | 411596 | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | 1992916936 | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | MEDICAID | 1992916936 | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | -010 | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | 1992916936 | ANTHEM |
| Virginia | Other | 1992916936 | ANTHEM |
| Virginia | Other | 10063694 | ANTHEM |
| Virginia | MEDICAID | 1992916936 | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
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