| Miracle Mile Chiropractic Pc | |
|
1102 Kresky Ave, Centralia, WA 98531-3732 | |
| (360) 330-1312 | |
| (360) 330-1320 |
| Full Name | Miracle Mile Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1102 Kresky Ave, Centralia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871620773 | NPI | - | NPPES |
| 8349722 | Medicaid | WA | |
| DB2803 | Other | WA | GROUP MEDICARE RAILROAD |
| 8869221 | Other | WA | CORP PIN |
| 8903893 | Other | WA | L&I CRIME CHAD MILLS DC |
| 0165763 | Other | WA | KRISTINA MILLS L&I |
| 0165765 | Other | WA | CHAD MILLS L&I |
| 8869913 | Other | WA | CHADS MEDICARE PTAN |
| 8870107 | Other | WA | KRISTINA MEDICARE |
| 8349730 | Medicaid | WA | |
| P00096548 | Other | WA | CHAD MILLS DC RAILROAD |
| 0165764 | Other | WA | GROUP L&I |
| DB2803 | Other | WA | GROUP RAILRAOD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH00034048 (Washington) | Secondary |
| 111N00000X | Chiropractor | CH00034049 (Washington) | Primary |
| Provider Name | Kristina L Mills |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740317825 PECOS PAC ID: 6002800844 Enrollment ID: I20060215000715 |
| Provider Name | Chad N Mills |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013044908 PECOS PAC ID: 3274527015 Enrollment ID: I20060215000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Mile Chiropractic Pc 110 Ham Rd, Centralia, WA 98531-5202 Ph: (360) 330-1312 | Miracle Mile Chiropractic Pc 1102 Kresky Ave, Centralia, WA 98531-3732 Ph: (360) 330-1312 |
Dr. Chad N Mills, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1102 Kresky Ave, Centralia, WA 98531 Phone: 360-330-1312 Fax: 360-330-1320 | |
Family Chiropractic Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1101 Mellen St, Centralia, WA 98531 Phone: 360-330-1800 Fax: 360-330-5866 | |
Dr. John Harvard Stiltner, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1218 Harrison Avenue, Centralia, WA 98531 Phone: 360-736-0145 Fax: 360-736-0146 | |
Schultz Chiro Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 802 W Main St, Centralia, WA 98531 Phone: 360-736-6263 Fax: 360-736-0811 | |
Centralia Chiropractic, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 120 W Magnolia St, Centralia, WA 98531 Phone: 360-736-9906 Fax: 360-736-9906 | |
Dr. John E Bridges, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 624 Hunt St, Centralia, WA 98531 Phone: 360-807-4497 | |
Dr. Joshua D Blume, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1611 Kresky Ave, Suite 108, Centralia, WA 98531 Phone: 360-330-1800 Fax: 360-330-5866 |