Miller, Thomas Paul

Miller, Thomas Paul is an sole proprietor health care provider with primary practice located at 3625 Clyde Park Ave Sw Suite 1, Grand Rapids MI 49509-4023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Miller, Thomas Paul can be contacted via phone (616) 531-6900.

Contact Information

Primary practice address
3625 Clyde Park Ave Sw Suite 1 Grand Rapids MI 49509-4023
Phone: (616) 531-6900
Fax: (616) 531-5847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 4301051779 Michigan

Profile Details

NPI number 1841210895
LBN Legal business name Miller, Thomas Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 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 1841210895 NPPES
Michigan MEDICAID 2860745

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