Provider Demographics
NPI:1194753467
Name:MILLER, JANET SINCLAIR (DC)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:SINCLAIR
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 1:20 FERNWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-2820
Mailing Address - Country:US
Mailing Address - Phone:508-367-3709
Mailing Address - Fax:
Practice Address - Street 1:60 MUNSON MEETING WAY
Practice Address - Street 2:STE F
Practice Address - City:CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02633-1992
Practice Address - Country:US
Practice Address - Phone:508-945-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36946OtherBC/BS INDIVIDUAL ID#
MAY39837OtherBC/BS GROUP #
MAY39837OtherBC/BS GROUP #
MAMIY45607Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL #
MAY36946OtherBC/BS INDIVIDUAL ID#