Provider Demographics
NPI:1316152267
Name:MILLER CHIROPRACTIC HEALTH CENTER, INC.
Entity type:Organization
Organization Name:MILLER CHIROPRACTIC HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-226-2333
Mailing Address - Street 1:11 ROBERT ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3630
Mailing Address - Country:US
Mailing Address - Phone:508-226-2333
Mailing Address - Fax:
Practice Address - Street 1:11 ROBERT ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3630
Practice Address - Country:US
Practice Address - Phone:508-226-2333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA2643111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4400958OtherUNITED HEALTH
RI80478-5OtherBLUE CROSS RI
MA1601228Medicaid
MA409235OtherBLUE CHIP
MAY36835OtherBC MASS
MA478866OtherTUFTS
MAAA6349OtherHARVARD PILGRIM
MAV88228Medicare UPIN
MAAA6349OtherHARVARD PILGRIM