Provider Demographics
NPI:1992817654
Name:MILLER, JAMES D (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:1610 CUMBERLAND FALLS HWY
Mailing Address - Street 2:STE 7
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2774
Mailing Address - Country:US
Mailing Address - Phone:606-215-3251
Mailing Address - Fax:606-215-3441
Practice Address - Street 1:201 ENTERPRISE AVE
Practice Address - Street 2:#600-C
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3082
Practice Address - Country:US
Practice Address - Phone:832-864-2129
Practice Address - Fax:832-864-3568
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY4391111N00000X
TX12622111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6514Medicare PIN
U82200Medicare UPIN