Provider Demographics
NPI:1124081989
Name:MILLER, SARA CHRISTINE (DC)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:CHRISTINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 HIGH ST W
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-4504
Mailing Address - Country:US
Mailing Address - Phone:757-686-3716
Mailing Address - Fax:757-686-8851
Practice Address - Street 1:5800 HIGH ST W
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-4504
Practice Address - Country:US
Practice Address - Phone:757-686-3716
Practice Address - Fax:757-686-8851
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA236274OtherANTHEM OR BCBS PROVIDER #
VA06-1649498OtherTAX ID USED FOR OTHER
VA236273OtherANTHEM OR BCBS PROVIDER #
VA236274OtherANTHEM OR BCBS PROVIDER #
VAU85498Medicare UPIN