Organization
MIDDLEBURY CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN MILLER D.C. (PRESIDENT)
(574) 825-9124
Entity
Organization
Contact information
Practice address
516 S MAIN ST, MIDDLEBURY, IN 46540-9701
(574) 825-9124
(574) 825-1127
Mailing address
516 S MAIN ST, MIDDLEBURY, IN 46540-9701
(574) 825-9124
(574) 825-1127
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000569A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000518469
ANTHEM
IN
Enumeration date
04/26/2007
Last updated
07/03/2008
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