Provider Demographics
NPI:1568176535
Name:MILLIGAN, REID R (DC)
Entity Type:Individual
Prefix:
First Name:REID
Middle Name:R
Last Name:MILLIGAN
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 1:9757 WESTPOINT DR STE 500
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-3265
Mailing Address - Country:US
Mailing Address - Phone:317-813-1998
Mailing Address - Fax:317-813-1997
Practice Address - Street 1:9757 WESTPOINT DR STE 500
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-3265
Practice Address - Country:US
Practice Address - Phone:317-813-1998
Practice Address - Fax:317-813-1997
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0008619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCHR0008619OtherSTATE DC LICENSE