Provider Demographics
NPI:1427223817
Name:MILHAM FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:MILHAM FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-303-2778
Mailing Address - Street 1:900 W WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-5201
Mailing Address - Country:US
Mailing Address - Phone:919-303-2778
Mailing Address - Fax:919-303-2780
Practice Address - Street 1:900 W WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5201
Practice Address - Country:US
Practice Address - Phone:919-303-2778
Practice Address - Fax:919-303-2780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty