Miller Chiropractic | |
107 E 11th St De Witt IA 52742-1453 | |
(563) 219-1125 | |
Not Available |
Full Name | Miller Chiropractic |
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Speciality | Clinic/Center |
Location | 107 E 11th St, De Witt, Iowa |
Authorized Official Name and Position | Carol Jo Miller (DOCTOR, OWNER) |
Authorized Official Contact | 5632191125 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Miller Chiropractic 107 E 11th St De Witt IA 52742-1453 Ph: (563) 219-1125 | Miller Chiropractic 107 E 11th St De Witt IA 52742-1453 Ph: (563) 219-1125 |
NPI Number | 1023448867 |
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Provider Enumeration Date | 11/14/2013 |
Last Update Date | 01/21/2016 |
Medicare PECOS PAC ID | 3779719638 |
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Medicare Enrollment ID | O20131122001978 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023448867 | NPI | - | NPPES |
1124341334 | Other | IA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 007288 (Iowa) | Primary |
Provider Name | Carol J Miller |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1124341334 PECOS PAC ID: 9133250103 Enrollment ID: I20100708000658 |
Provider Name | Stephanie Kay Makela |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1235408899 PECOS PAC ID: 5496076267 Enrollment ID: I20150604001962 |
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