Individual
DR. JOHN A. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
535 LINCOLNWAY WEST, MISHAWAKA, IN 46544-1800
(574) 255-2268
Mailing address
535 LINCOLNWAY WEST, MISHAWAKA, IN 46544-1800
(574) 255-2268
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3470
KY
111N00000X
Chiropractor
Primary
508
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203589
BCBS
—
Enumeration date
09/28/2006
Last updated
02/01/2011
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