Miller, Jere Alan
Miller, Jere Alan is an sole proprietor health care provider with primary practice located at 4060 Huerfano Ave #312, San Diego CA 92117-5207. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Miller, Jere Alan can be contacted via phone (858) 560-7270.Contact Information
Primary practice address
4060 Huerfano Ave #312
San Diego CA 92117-5207
Phone: (858) 560-7270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E2470 | California |
Profile Details
| NPI number | 1740253368 |
|---|---|
| LBN Legal business name | Miller, Jere Alan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Mar 4th, 2009 - about 17 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 | 1740253368 | NPPES |
| California | MEDICAID | E000002470 |
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