Miller, Ted J

Miller, Ted J is an individual health care provider with primary practice located at 740 Conference Dr , Goodlettsville TN 37072-1915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Ted J can be contacted via phone (615) 859-1440.

Contact Information

Primary practice address
740 Conference Dr Goodlettsville TN 37072-1915
Phone: (615) 859-1440
Fax: (615) 859-0145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17410 Tennessee

Profile Details

NPI number 1063483568
LBN Legal business name Miller, Ted J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1063483568 NPPES
Tennessee MEDICAID 3023795

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