Miller, Jennifer M

Miller, Jennifer M is an individual health care provider with primary practice located at 4800 S 10Th St , Milwaukee WI 53221-2412. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Miller, Jennifer M can be contacted via phone (414) 744-5370.

Contact Information

Primary practice address
4800 S 10Th St Milwaukee WI 53221-2412
Phone: (414) 744-5370
Fax: (414) 744-9052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 304403 Wisconsin

Profile Details

NPI number 1316088701
LBN Legal business name Miller, Jennifer M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 9th, 2007 - about 19 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 1316088701 NPPES
Wisconsin MEDICAID 42025500

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