| Amber Jo Miller, DC | |
|
2077 Jolly Roger Dr, Edwardsville, IL 62025-5234 | |
| (618) 420-0879 | |
| Not Available |
| Full Name | Amber Jo Miller |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 2 Years |
| Location | 2077 Jolly Roger Dr, Edwardsville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821802778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.014263 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stassi Chiropractic And Wellness Center Llc | 1355625799 | 3 |
| Shipley Chiropractic Ltd | 1052649241 | 2 |
| Provider Name | Stassi Chiropractic & Wellness Center LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508302985 PECOS PAC ID: 1355625799 Enrollment ID: O20170301002521 |
| Provider Name | Shipley Chiropractic Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497309066 PECOS PAC ID: 1052649241 Enrollment ID: O20190827000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Jo Miller, DC 2077 Jolly Roger Dr, Edwardsville, IL 62025-5234 Ph: (618) 420-0879 | Amber Jo Miller, DC 2077 Jolly Roger Dr, Edwardsville, IL 62025-5234 Ph: (618) 420-0879 |
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