Provider Demographics
NPI:1437503042
Name:MILLIGAN CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:MILLIGAN CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MILLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-256-1312
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER MILLS
Mailing Address - State:CA
Mailing Address - Zip Code:96028-0086
Mailing Address - Country:US
Mailing Address - Phone:925-256-1312
Mailing Address - Fax:925-798-5174
Practice Address - Street 1:43228 HIGHWAY 299 EAST
Practice Address - Street 2:
Practice Address - City:FALL RIVER MILLS
Practice Address - State:CA
Practice Address - Zip Code:96028-0000
Practice Address - Country:US
Practice Address - Phone:530-355-1610
Practice Address - Fax:925-798-5174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1639213077OtherGROUP NPI
CA1912927211Medicare PIN