Miller, Timothy Robert

Miller, Timothy Robert is an sole proprietor health care provider with primary practice located at 2 Journey Suite 208, Aliso Viejo CA 92656-3332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as his primary health care specialty. Miller, Timothy Robert can be contacted via phone (949) 215-5402.

Contact Information

Primary practice address
2 Journey Suite 208 Aliso Viejo CA 92656-3332
Phone: (949) 215-5402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X A90958 California

Profile Details

NPI number 1992723209
LBN Legal business name Miller, Timothy Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Apr 23rd, 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 1992723209 NPPES
California Other 00A909580 BLUE SHIELD
California Other A90958 BLUE SHIELD

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