1114233145 NPI number — MR. JOHN MILLER BILLS M.R.E.

Table of content: MR. JOHN MILLER BILLS M.R.E. (NPI 1114233145)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114233145 NPI number — MR. JOHN MILLER BILLS M.R.E.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BILLS
Provider First Name:
JOHN
Provider Middle Name:
MILLER
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.R.E.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114233145
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/22/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1620 WASHINGTON DR APT 105
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAIRBANKS
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99709-5017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-374-8390
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3830 S CUSHMAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRBANKS
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99701-7530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-452-1575
Provider Business Practice Location Address Fax Number:
907-455-1460
Provider Enumeration Date:
08/27/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MH0157 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




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