Organization
THOMAS A MILLER DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A MILLER BSC DC (PRESIDENT)
(574) 936-6674
Entity
Organization
Contact information
Practice address
1071 LINCOLNWAY E, PLYMOUTH, IN 46563
(574) 936-6674
Mailing address
1071 LINCOLNWAY E, PLYMOUTH, IN 46563
(574) 936-6674
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000432A
IN
111N00000X
Chiropractor
3222
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187201
BCBS
—
Enumeration date
08/06/2007
Last updated
08/06/2007
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