Miller, Jennifer G

Miller, Jennifer G is an individual health care provider with primary practice located at 1035 N Ellsworth Rd Ste 107 , Mesa AZ 85207-5144. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Miller, Jennifer G can be contacted via phone (602) 628-3798.

Contact Information

Primary practice address
1035 N Ellsworth Rd Ste 107 Mesa AZ 85207-5144
Phone: (602) 628-3798
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP1202 Arizona

Profile Details

NPI number 1285688648
LBN Legal business name Miller, Jennifer G
Credentials SPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated May 30th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285688648 NPPES
Arizona MEDICAID 525842
Arizona Other AZ0298870

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