| Jeremy K Miller Consulting, Llc | |
|
3401 Glendale Ave Ste 200 Toledo OH 43614-2490 | |
| (567) 742-7117 | |
| (567) 200-8410 |
| Full Name | Jeremy K Miller Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3401 Glendale Ave Ste 200, Toledo, Ohio |
| Authorized Official Name and Position | Jeremy Keith Miller (OWNER) |
| Authorized Official Contact | 5677427117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy K Miller Consulting, Llc 3401 Glendale Ave Ste 200 Toledo OH 43614-2490 Ph: (567) 742-7117 | Jeremy K Miller Consulting, Llc 3401 Glendale Ave Ste 200 Toledo OH 43614-2490 Ph: (567) 742-7117 |
| NPI Number | 1053147470 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Medicare PECOS PAC ID | 3072049956 |
|---|---|
| Medicare Enrollment ID | O20241216003233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053147470 | NPI | - | NPPES |
| 0065552 | Medicaid | OH |
| Provider Name | Latrice Marie Waddell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316375124 PECOS PAC ID: 4981839586 Enrollment ID: I20131107001192 |
| Provider Name | Jeremy Keith Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053797613 PECOS PAC ID: 9931477262 Enrollment ID: I20170609001180 |
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