Miller, Jonathan Pease

Miller, Jonathan Pease is an individual health care provider with primary practice located at 1915 K M Wicker Memorial Dr , Sanford NC 27330-5070. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Miller, Jonathan Pease can be contacted via phone (919) 774-6829.

Contact Information

Primary practice address
1915 K M Wicker Memorial Dr Sanford NC 27330-5070
Phone: (919) 774-6829
Fax: (919) 775-2327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 5019 North Carolina
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1032 North Carolina

Profile Details

NPI number 1679720957
LBN Legal business name Miller, Jonathan Pease
Credentials MS, CCA-A
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Sep 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679720957 NPPES
North Carolina MEDICAID 890107W
North Carolina Other 0107W
North Carolina Other 3404108

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