Miller, Jonathan Allen
Miller, Jonathan Allen is an sole proprietor health care provider with primary practice located at 5243 Little Debbie Pkwy Ste 111 , Ooltewah TN 37363-4515. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Miller, Jonathan Allen can be contacted via phone (423) 206-2777.Contact Information
Primary practice address
5243 Little Debbie Pkwy Ste 111
Ooltewah TN 37363-4515
Phone: (423) 206-2777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 60832 | Minnesota |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 38079 | Alabama |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 61190 | Tennessee |
Profile Details
| NPI number | 1346637048 |
|---|---|
| LBN Legal business name | Miller, Jonathan Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2015 |
| Last updated | Oct 7th, 2020 - about 6 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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