John J Miller Md Ps | |
1220 Basich Blvd Ste B Aberdeen WA 98520-1070 | |
(360) 537-7577 | |
Not Available |
Full Name | John J Miller Md Ps |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1220 Basich Blvd Ste B, Aberdeen, Washington |
Authorized Official Name and Position | Miranda S Shoemaker (OFFICE MANAGER) |
Authorized Official Contact | 3605377577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John J Miller Md Ps 105 S Broadway St Aberdeen WA 98520-6211 Ph: () - | John J Miller Md Ps 1220 Basich Blvd Ste B Aberdeen WA 98520-1070 Ph: (360) 537-7577 |
NPI Number | 1063636892 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 03/28/2023 |
Certification Date | 03/28/2023 |
Medicare PECOS PAC ID | 2860391042 |
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Medicare Enrollment ID | O20040107000395 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063636892 | NPI | - | NPPES |
AB38331 | Other | WA | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | John J Miller |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1770535023 PECOS PAC ID: 0446159636 Enrollment ID: I20040121000384 |
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