Miller, Nicholas Jay
Miller, Nicholas Jay is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Miller, Nicholas Jay can be contacted via phone (913) 660-1616.Contact Information
Primary practice address
9100 W 74Th St
Shawnee Mission KS 66204-4004
Phone: (913) 660-1616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2016007201 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 05-40104 | Kansas |
Profile Details
| NPI number | 1992123061 |
|---|---|
| LBN Legal business name | Miller, Nicholas Jay |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2014 |
| Last updated | Feb 7th, 2024 - about 2 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 | 1992123061 | NPPES |
| Missouri | MEDICAID | 1992123061 | |
| Missouri | MEDICAID | 201169390A |
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