Miller, Thomas

Miller, Thomas is an individual health care provider with primary practice located at 490 Blue Hills Ave Rehab, Hartford CT 06112-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Miller, Thomas can be contacted via phone (860) 714-2647.

Contact Information

Primary practice address
490 Blue Hills Ave Rehab Hartford CT 06112-1513
Phone: (860) 714-2647
Fax: (860) 714-8517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 039407 Connecticut

Profile Details

NPI number 1851399794
LBN Legal business name Miller, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 31st, 2014 - about 12 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 1851399794 NPPES
Connecticut MEDICAID 001394072

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