MR. JACK M MILJOUR JR. (NPI# 1497988026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497988026 |
| Entity Type | Individual |
| Full Name | MR. JACK M MILJOUR JR. |
| Credential | LPN |
| Practice Address |
248 Young St Tonawanda NY 14150-2328 |
| Practice Telephone | 7165236923 |
| Mailing Telephone | 7165236923 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 296157-1 | NY | Nursing Service Providers |
| Street Address |
248 YOUNG ST |
| City | TONAWANDA |
| State | NY |
| Zip Code | 14150-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349338 | Jennifer Legrand | Dietitian, Registered | 62 Raintree Is Apt 10, Tonawanda, NY 14150 | 2019-08-01 |
| 1245707934 | Anthony John Dellavalle | Emergency Medicine | 341 Niagara Street, Tonawanda, NY 14150 | 2018-10-31 |
| 1871088450 | Karen Mittlefehldt | Physical Therapist | 2540 Sheridan Drive, Tonawanda, NY 14150 | 2018-06-26 |
| 1871017194 | Amanda Beth Mrzygut | Emergency Medical Technician, Basic | 269 Mapleview Dr, Tonawanda, NY 14150 | 2017-07-28 |
| 1700248648 | Nathan Willett | Technician, Other | 432 Forbes Ave., Tonawanda, NY 14150 | 2016-03-21 |
| 1831555432 | Safe Ride of Wny Inc | Taxi | 2813 Niagara St, Tonawanda, NY 14150 | 2016-01-12 |
| 1447509278 | Nancy Lynne Haas | Licensed Practical Nurse | 173 Linwood Ave, Tonawanda, NY 14150 | 2012-09-07 |
| 1558646331 | Nancy Cliff | Registered Nurse | 39 O'hara Rd, Tonawanda, NY 14150 | 2011-10-12 |
| 1801195979 | Joann Mirabella | Speech-Language Pathologist | 313 Wrexham Ct. North, Tonawanda, NY 14150 | 2011-03-15 |
| 1841593829 | Marie A Burger | Social Worker | 130 Syracuse St., Tonawanda, NY 14150 | 2010-12-13 |
| Find all providers in zip 14150 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043778285 | Kerry Lynn Vilardo | Licensed Practical Nurse | 31 Calvert Blvd, Tonawanda, NY 14150-2901 | 2019-03-06 |
| 1376015115 | Felecia Marie Velez | Licensed Practical Nurse | 6 Amy Dr, Tonawanda, NY 14150-6102 | 2018-12-18 |
| 1174099667 | Gabrielle Bridget Alderman | Licensed Practical Nurse | 167 Springfield Ave, Tonawanda, NY 14150-9119 | 2018-10-23 |
| 1497279566 | Melissa J Wall | Licensed Practical Nurse | 432 Ashford Ave # Vae, Tonawanda, NY 14150-7002 | 2017-08-01 |
| 1285180760 | Tasha Gant | Licensed Practical Nurse | 236 Greenhaven Ter, Tonawanda, NY 14150-5550 | 2016-08-25 |
| 1659740926 | Nicholas Farrell | Licensed Practical Nurse | 1870 Niagara Falls Blvd Apt 314, Tonawanda, NY 14150-6444 | 2015-09-17 |
| 1043626294 | Andrea Dunston | Licensed Practical Nurse | 945 Highland Ave, Tonawanda, NY 14223-1754 | 2014-07-09 |
| 1720401227 | Samantha Knight | Licensed Practical Nurse | 21 Ashford Ave, Tonawanda, NY 14150-8501 | 2014-02-04 |
| 1821339805 | Jennifer Peterson | Licensed Practical Nurse | 68 Howard Ln, Tonawanda, NY 14150-8125 | 2013-03-15 |
| 1659615615 | Danielle Marie Brodfuehrer | Licensed Practical Nurse | 18 Elmwood Park W, Tonawanda, NY 14150-3315 | 2012-11-15 |
| Find all providers in TONAWANDA | ||||
Please comment or provide details below to improve the information on MR. JACK M MILJOUR JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.