Miller, Jerry
Miller, Jerry is an individual health care provider with primary practice located at 211 13Th St , Ramona CA 92065-2711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Jerry can be contacted via phone (760) 789-5160.Contact Information
Primary practice address
211 13Th St
Ramona CA 92065-2711
Phone: (760) 789-5160
Fax: (760) 789-6316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31770-020 | Wisconsin |
Profile Details
| NPI number | 1871543199 |
|---|---|
| LBN Legal business name | Miller, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Dec 23rd, 2014 - about 12 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 | 1871543199 | NPPES |
| California | MEDICAID | 1871543199 | |
| California | Other | 119340 |
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