| Miller Chiropractic | |
|
107 E 11th St De Witt IA 52742-1453 | |
| (563) 219-1125 | |
| Not Available |
| Full Name | Miller Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 E 11th St, De Witt, Iowa |
| Authorized Official Name and Position | Carol Jo Miller (DOCTOR, OWNER) |
| Authorized Official Contact | 5632191125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Chiropractic 107 E 11th St De Witt IA 52742-1453 Ph: (563) 219-1125 | Miller Chiropractic 107 E 11th St De Witt IA 52742-1453 Ph: (563) 219-1125 |
| NPI Number | 1023448867 |
|---|---|
| Provider Enumeration Date | 11/14/2013 |
| Last Update Date | 01/21/2016 |
| Medicare PECOS PAC ID | 3779719638 |
|---|---|
| Medicare Enrollment ID | O20131122001978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023448867 | NPI | - | NPPES |
| 1124341334 | Other | IA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 007288 (Iowa) | Primary |
| Provider Name | Carol J Miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124341334 PECOS PAC ID: 9133250103 Enrollment ID: I20100708000658 |
| Provider Name | Stephanie Kay Makela |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235408899 PECOS PAC ID: 5496076267 Enrollment ID: I20150604001962 |
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