David Vernon Miljour, DC
Individual provider Active NPI Chiropractor · Shepherdstown, WV
NPI 1497841340 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497841340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- WV490 (WV)
- Practice address
- 51 Maddex Dr
Maddex Professional Center
Shepherdstown, WV 25443 - Phone
- (304) 876-2230
- Fax
- (304) 876-3943
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV490 | WV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | WV490 | WV | Yes |
Addresses
Primary practice location
51 Maddex Dr
Maddex Professional Center
Shepherdstown, WV 25443
Mailing address
PO Box 1566
Shepherdstown, WV 25443-1566
Phone (304) 876-2230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131461000 | Medicaid | WV |
Other providers in Shepherdstown, WV
- Shannon Leigh Medaris
- Karen Loncher Mennett
- Michael Monsma LLC
- Tyler Jason Michael
- Lisa Miles
- Danielle Miller
- James Miller
- Michael Monsma
- Kathleen Morotti
- Cassandra Gabriella Frances Myers
All providers in Shepherdstown, WV · Chiropractor in West Virginia
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.