Organization
MILLER CHIROPRACTIC & WELLNESS CENTER , P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE DALE MILLER DC (OWNER)
(304) 843-1192
Entity
Organization
Contact information
Practice address
1003 4TH ST, MOUNDSVILLE, WV 26041-1722
(304) 843-1192
(304) 843-1197
Mailing address
144 LAFAYETTE AVE, MOUNDSVILLE, WV 26041-1029
(304) 843-1192
(304) 843-1197
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
628
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710780
BCBS
WV
05
—
0775005000
—
WV
01
—
233042085-00
OHIO WORKERS COMPENSATION
OH
01
—
350045307
RAILROAD MEDICARE
WV
01
—
3797826-001
CIGNA
WV
01
—
5472552
AETNA
WV
01
—
628
HEALTH PLAN
OH
Enumeration date
01/18/2007
Last updated
05/18/2020
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