David Alton Miller, L.AC. MSTOM

Individual provider Active NPI Acupuncturist · Salisbury, CT

NPI 1942437702 · NPPES record last updated Jun 18, 2009

Key facts

NPI
1942437702
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
000354 (CT)
Practice address
15 Academy Street
2
Salisbury, CT 06068
Phone
(860) 435-2219
NPI assigned
Jun 18, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
238173MAMDAcupuncturist
003090NYMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 238173 MA
Acupuncturist 171100000X 000354 CT Yes
Acupuncturist 171100000X 003090 NY

Addresses

Primary practice location

15 Academy Street
2
Salisbury, CT 06068

Mailing address

15 Honey Hill Rd
Canaan, CT 06018-2005
Phone (860) 824-9850

Other providers in Salisbury, CT

All providers in Salisbury, CT · Acupuncturist in Connecticut

Sources for this page

Verify at the official NPI Registry.