Provider Demographics
NPI:1588858427
Name:MILLER, DAVID EDWARD (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EDWARD
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 KING ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-2916
Mailing Address - Country:US
Mailing Address - Phone:707-843-6388
Mailing Address - Fax:
Practice Address - Street 1:1 CITY PL APT 2206
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3348
Practice Address - Country:US
Practice Address - Phone:914-486-6723
Practice Address - Fax:718-824-2240
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013817111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor