National Provider Identifier Database

TIMOTHY E MILLER, CPO – NPI #1972500346
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

TIMOTHY E MILLER, CPO
4505 UTICA RIDGE RD
BETTENDORF, IA52722-1641
Phone: 563-344-4206
Fax: 563-344-4209
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for TIMOTHY E MILLER

NPI Number 1972500346
Credentials CPO
Entity Individual
Enumeration date 06/30/2005
Last updated 03/27/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • IA Medicaid: 0118281
  • IL Medicaid: 421429042001
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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