Provider Demographics
NPI:1699979179
Name:MILHOAN, VIRGINIA GROSS (DC)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:GROSS
Last Name:MILHOAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:VIRGINIA
Other - Middle Name:LOUISE
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2014 CHAPALA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3903
Mailing Address - Country:US
Mailing Address - Phone:805-682-4204
Mailing Address - Fax:805-563-4644
Practice Address - Street 1:2014 CHAPALA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3903
Practice Address - Country:US
Practice Address - Phone:805-682-4204
Practice Address - Fax:805-563-4644
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC15721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T18128Medicare UPIN