Provider Demographics
NPI:1104038892
Name:DEBORAH L MILLER DC PA
Entity Type:Organization
Organization Name:DEBORAH L MILLER DC PA
Other - Org Name:MILLER CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-688-5669
Mailing Address - Street 1:4618 E CENTRAL
Mailing Address - Street 2:STE 110
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208
Mailing Address - Country:US
Mailing Address - Phone:316-688-5669
Mailing Address - Fax:316-688-5673
Practice Address - Street 1:4618 E CENTRAL
Practice Address - Street 2:STE 110
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208
Practice Address - Country:US
Practice Address - Phone:316-688-5669
Practice Address - Fax:316-688-5673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0103999111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS023787OtherBCBS
KS1104038892Medicare PIN