Mr. Jack Glenn Miller
Homeopath Naturopath
1308 N Stockton Hill Rd Ste A-153
Kingman
, Arizona 86401-5139
Mr. Jack Glenn Miller
Homeopath Naturopath
1308 N Stockton Hill Rd Ste A-153
Kingman
, Arizona 86401-5139
(928) 565-5853
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About
Features
Specialties
- Naturopath
- Homeopath
Languages spoken
- English
Location
First Address
- Mr. Jack Glenn Miller
- 1308 N Stockton Hill Rd Ste A
- Kingman, AZ
- Zip : 86401-5190
- Phone : (928) 565-5853
Second Address
- Mr. Jack Glenn Miller
- 1308 N Stockton Hill Rd Ste A-153
- Kingman, AZ
- Zip : 86401-5139
- Phone : (928) 565-5853
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 175F00000X | Naturopath | ||
| Y | 175L00000X | Homeopath |
National Provider Identifier
| NPI | 1619274867 |
|---|---|
| Provider Name | Mr. Jack Glenn Miller |
| First Address | Kingman, AZ 86401-5190 |
| Second Address | Kingman, AZ 86401-5139 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2011 |
| Last Update Date | 25/01/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.