National Provider Identifier
Jack M Miljour Jr., LPN
Jack M Miljour Jr., LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Tonawanda, NY and a listed phone number of (716) 523-6923.
Profile Overview
- NPI
- 1497988026
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 31, 2009
- Last Updated
- August 31, 2009
Practice Location
- 248 Young St
- Tonawanda, NY 14150-2328
Phone: (716) 523-6923
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1497988026
- Entity Type
- Individual
- Last Name
- Miljour
- First Name
- Jack
- Middle Name
- M
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- LPN
- Mailing Street Address
- 248 Young St
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-2328
- Mailing Country
- US
- Mailing Phone
- (716) 523-6923
- Practice Street Address
- 248 Young St
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-2328
- Practice Country
- US
- Practice Phone
- (716) 523-6923
- Enumeration Date
- August 31, 2009
- Last Updated
- August 31, 2009
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)