Provider Demographics
NPI:1558677377
Name:DR JAMES E MILLER PSC
Entity Type:Organization
Organization Name:DR JAMES E MILLER PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-624-0026
Mailing Address - Street 1:311 N 3RD ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-1421
Mailing Address - Country:US
Mailing Address - Phone:859-624-0026
Mailing Address - Fax:859-623-9338
Practice Address - Street 1:311 N 3RD ST
Practice Address - Street 2:SUITE A
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-1421
Practice Address - Country:US
Practice Address - Phone:859-624-0026
Practice Address - Fax:859-623-9338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY22038305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization