Provider Demographics
NPI:1346361557
Name:MINER CHIROPRACTIC
Entity Type:Organization
Organization Name:MINER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:MINER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-782-7166
Mailing Address - Street 1:1540 HWY 395
Mailing Address - Street 2:STE 3
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410
Mailing Address - Country:US
Mailing Address - Phone:775-782-7166
Mailing Address - Fax:775-782-7167
Practice Address - Street 1:1540 HWY 395
Practice Address - Street 2:STE 3
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410
Practice Address - Country:US
Practice Address - Phone:775-782-7166
Practice Address - Fax:775-782-7167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty