Miller, Jesse Glenn
Miller, Jesse Glenn is an individual health care provider with primary practice located at 300 W Shawnee St Ste B , Muskogee OK 74401-4151. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Miller, Jesse Glenn can be contacted via phone (918) 683-9777.Contact Information
Primary practice address
300 W Shawnee St Ste B
Muskogee OK 74401-4151
Phone: (918) 683-9777
Fax: (918) 683-9778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3042 | Oklahoma |
Profile Details
| NPI number | 1720170517 |
|---|---|
| LBN Legal business name | Miller, Jesse Glenn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Oct 2nd, 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 | 1720170517 | NPPES |
| Oklahoma | MEDICAID | 100830610A |
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