Miller, Timothy
Miller, Timothy is an individual health care provider with primary practice located at 200 Arh Lane Suite 100, Low Moor VA 24457. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Miller, Timothy can be contacted via phone (540) 862-6710.Contact Information
Primary practice address
200 Arh Lane Suite 100
Low Moor VA 24457
Phone: (540) 862-6710
Fax: (540) 862-7922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110-001782 | Virginia |
Profile Details
| NPI number | 1659343572 |
|---|---|
| LBN Legal business name | Miller, Timothy |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jul 27th, 2021 - about 5 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 | 1659343572 | NPPES |
| Virginia | MEDICAID | 010044561 |
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