Provider Demographics
NPI:1912993270
Name:MILLER, EMMA JANEEN (DC)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:JANEEN
Last Name:MILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:EMMA
Other - Middle Name:JANEEN
Other - Last Name:LUCKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1263 NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:HOPWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15445
Mailing Address - Country:US
Mailing Address - Phone:724-438-4000
Mailing Address - Fax:724-438-7010
Practice Address - Street 1:1263 NATIOAL PIKE
Practice Address - Street 2:
Practice Address - City:HOPWOOD
Practice Address - State:PA
Practice Address - Zip Code:15445
Practice Address - Country:US
Practice Address - Phone:724-438-4000
Practice Address - Fax:724-438-7010
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-009172-L111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008724450001Medicaid
PA3457356OtherAETNA
PA1050874OtherASHN
PA153280OtherUNISON
PA698503OtherACN
PA2236766OtherFIRST HEALTH
913837OtherCOVENTRY
0973334OtherCIGNA
721488OtherUPMC
PA1537875OtherGATEWAY
PA1595297OtherHIGHMARK
PA153280OtherUNISON
PA3457356OtherAETNA