Miller, Jonathan

Miller, Jonathan is an individual health care provider with primary practice located at 164 Summit Ave , Providence RI 02906-2853. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Miller, Jonathan can be contacted via phone (401) 793-4480.

Contact Information

Primary practice address
164 Summit Ave Providence RI 02906-2853
Phone: (401) 793-4480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01059 Rhode Island

Profile Details

NPI number 1518450477
LBN Legal business name Miller, Jonathan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2018
Last updated May 26th, 2022 - about 4 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 1518450477 NPPES
Rhode Island Other PA01059 RHODE ISLAND PA LICENSE
Rhode Island Other PA8635 RHODE ISLAND PA LICENSE

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