Provider Demographics
NPI:1346306057
Name:MILLER, DANIEL SHAWN (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:SHAWN
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 MORNINGSTAR DR.
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-4779
Mailing Address - Country:US
Mailing Address - Phone:724-823-0658
Mailing Address - Fax:724-823-0659
Practice Address - Street 1:580 S AIKEN AVE
Practice Address - Street 2:SHADYSIDE PLACE SUITE 310
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1531
Practice Address - Country:US
Practice Address - Phone:412-623-3023
Practice Address - Fax:412-623-6414
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004380L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA250667OtherUPMC
PA607711OtherHIGHMARK OF PA
PA01452818Medicaid
PA1462984OtherBCBS GROUP NUMBER
PADM1000836OtherASN
PA607711OtherHIGHMARK OF PA