Jack Edwin Miller is a Neurology in Petaluma, California. Jack Edwin Miller practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jack Edwin Miller is 1497824627. The last update date is 2007-07-08.
Jack Edwin Miller's current location address is 765 Baywood Dr, Petaluma, California. You can contact this provider via phone number 7077622166 and fax number 7077668160. The mailing address for Jack Edwin Miller is 765 Baywood Dr, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Edwin Miller |
|---|---|
| Address | 765 Baywood Dr, Petaluma, California |
| Phone Number | 7077622166 |
| Fax Number | 7077668160 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497824627 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 765 Baywood Dr |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 94954 |
| Phone Number | 7077622166 |
| Fax Number | 7077668160 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | G26214 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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What is the unique 10-digit identification code assigned to Jack Edwin Miller by the Centers for Medicare & Medicaid Services?
The Jack Edwin Miller has been issued the NPI (National Provider Identifier) 1497824627, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jack Edwin Miller's physical address?
The Jack Edwin Miller is physically located at 765 Baywood Dr, in the city of Petaluma, CA, with the postal code 94954.
What is Jack Edwin Miller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack Edwin Miller is Neurology, and the taxonomy code that categorizes this field of expertise is 2084N0400X.
On what date did the Jack Edwin Miller receive the assignment of its 1497824627 from the Centers for Medicare & Medicaid Services?
The Jack Edwin Miller was issued its 1497824627 by the Centers for Medicare & Medicaid Services on 2006-11-06.
When was the Jack Edwin Miller's information last updated?
The Jack Edwin Miller's information was last updated on 2007-07-08.
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