Active NPIIndividual provider

Jeremy D Miller

Specialist/Technologist, Athletic Trainer in Fairfield, Connecticut

NPI Number1306499918
Practice location
5151 Park Ave, Fairfield, CT 06825-1090
Fax
—
Last updated
July 23, 2019

Jeremy D Miller is a Specialist/Technologist, Athletic Trainer based in Fairfield, CT. Jeremy D Miller practices in Fairfield, CT. The NPI Number for Jeremy D Miller is 1306499918 and holds a License No. S47445874 (MA). The current practice location address for Jeremy D Miller is 5151 Park Ave, Fairfield, CT 06825-1090 and can be reached out via phone at 413-896-4353.

Provider Profile Details

NPI Number
1306499918
Provider Name
Jeremy D Miller
Provider Entity Type
Individual
Gender
Male
Address
5151 Park Ave, Fairfield, CT 06825-1090
Phone Number
413-896-4353
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
July 23, 2019
Last Update Date
July 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
5151 Park Ave
Fairfield, CT 06825-1090
Zip
06825-1090
Phone Number
413-896-4353
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
343 Newbury St
Springfield, MA 01104-2524
City
Springfield
State
MA
Zip
01104-2524

License Information

License Number
S47445874
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeremy D Miller?

The NPI number of Jeremy D Miller is 1306499918. It was assigned on July 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Jeremy D Miller?

Jeremy D Miller is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number S47445874.

Where does Jeremy D Miller practice?

The practice location is 5151 Park Ave, Fairfield, CT 06825-1090. The office can be reached at 413-896-4353 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306499918 directly on the NPPES registry website.

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