Provider Demographics
NPI:1962729368
Name:MIGLIORI, JAMIE LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LEIGH
Last Name:MIGLIORI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3355 GLENDALE AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2426
Mailing Address - Country:US
Mailing Address - Phone:419-383-3815
Mailing Address - Fax:419-383-3289
Practice Address - Street 1:1400 E MEDICAL LOOP
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-8004
Practice Address - Country:US
Practice Address - Phone:419-383-3815
Practice Address - Fax:419-383-3289
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.1257502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0118800Medicaid
OHH381730Medicare PIN