Miller, Thomas Paul

Miller, Thomas Paul is an individual health care provider with primary practice located at 1700 E 38Th St , Marion IN 46953-4563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Thomas Paul can be contacted via phone (765) 674-3321.

Contact Information

Primary practice address
1700 E 38Th St Marion IN 46953-4563
Phone: (765) 674-3321
Fax: (765) 677-5167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44058 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01027833A Indiana

Profile Details

NPI number 1114989621
LBN Legal business name Miller, Thomas Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Aug 4th, 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 1114989621 NPPES
Wisconsin MEDICAID 34198300

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