Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 1390 | NE |
NPI | 1265522304 |
---|---|
Provider Name | Chad Aaron Miller |
First Address | Lincoln, NE 68506-5581 |
Second Address | Lincoln, NE 68516-6406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 11/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09828 | BCBS OF NEBRASKA (01) | NE |
10025290300 | (05) | NE |
16-1731148 | UNITED HEALTHCARE (01) | |
247828 | MIDLANDS CHOICE (01) | NE |
V06520 | (02) |