Michael Edward Miller, D.C.
Individual provider Active NPI Chiropractor · Edon, OH
NPI 1467578237 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467578237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2939 (OH)
- Practice address
- 104 W. Indiana St.
Edon, OH 43518-0006 - Phone
- (419) 272-5209
- Fax
- (419) 272-2139
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
104 W Indiana St
Edon, OH 43518-8611
Phone (419) 272-5209
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040830000290 | OH | Practitioner - Chiropractic | 2769457217 | Practice locations: Edon, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2939 | OH | Yes |
Addresses
Primary practice location
104 W. Indiana St.
Edon, OH 43518-0006
Mailing address
104 W. Indiana St.
P.O. Box 6
Edon, OH 43518-0006
Phone (419) 272-5209
Other providers in Edon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.