Provider Demographics
NPI:1598817371
Name:MIELE, URSULA CATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:URSULA
Middle Name:CATHERINE
Last Name:MIELE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-3944
Mailing Address - Country:US
Mailing Address - Phone:570-327-1965
Mailing Address - Fax:570-327-1967
Practice Address - Street 1:1040 WESTMINSTER DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3944
Practice Address - Country:US
Practice Address - Phone:570-327-1965
Practice Address - Fax:570-327-1967
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003960L111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA817162OtherFIRST PRIORITY HEALTH
PA580998OtherBLUE SHIELDHIGHMARK
PA580998OtherBLUE SHIELDHIGHMARK
PAMI1478012Medicare ID - Type Unspecified