Individual
DR. JUSTIN TODD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
107 GRANDVIEW AVE, CHICORA, PA 16025-2136
(724) 607-1160
(724) 607-1161
Mailing address
109 GRANDVIEW AVENUE, CHICORA, PA 16025
(724) 607-1160
(724) 607-1161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008931
PA
111NS0005X
Sports Physician Chiropractor
3905
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001444553
HIGHMARK BLUE SHIELD
PA
01
—
410093
HEALTH AMERICA/HEALTH ASS
PA
01
—
5670386
CIGNA HEALTHCARE
PA
01
—
7645493
AETNA
PA
Enumeration date
04/19/2006
Last updated
03/22/2011
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