Jerome Timothy Miller in Sheboygan - Physician Assistant
Jerome Timothy Miller - NPI 1629034798
Jerome Timothy Miller is a Physician Assistant in Sheboygan, Wisconsin. Jerome Timothy Miller practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jerome Timothy Miller is 1629034798. The last update date is 2022-07-21.
Jerome Timothy Miller's current location address is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. You can contact this provider via phone number 9204574461. The mailing address for Jerome Timothy Miller is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Timothy Miller |
|---|---|
| Address | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
| Phone Number | 9204574461 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1629034798 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2414 Kohler Memorial Dr |
|---|---|
| City | Sheboygan |
| State | Wisconsin (WI) |
| Post Code | 530813129 |
| Phone Number | 9204574461 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 726-23 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1629034798 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jerome Timothy Miller by the Centers for Medicare & Medicaid Services?
The Jerome Timothy Miller has been issued the NPI (National Provider Identifier) 1629034798. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jerome Timothy Miller is physically located?
The Jerome Timothy Miller is physically situated at the following address: 2414 Kohler Memorial Dr, Sheboygan, WI, 530813129.
What is the area of specialization for Jerome Timothy Miller, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerome Timothy Miller is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629034798 to Jerome Timothy Miller?
The Jerome Timothy Miller received its 1629034798 assignment from the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the information pertaining to Jerome Timothy Miller most recently updated or revised?
The details related to Jerome Timothy Miller, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
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