Provider Demographics
NPI:1598951691
Name:H. MATTHEW MILLER D.C P.C.
Entity Type:Organization
Organization Name:H. MATTHEW MILLER D.C P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:H.
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-926-3102
Mailing Address - Street 1:425 WEST GUADALUPE RD #113
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-3202
Mailing Address - Country:US
Mailing Address - Phone:480-926-3102
Mailing Address - Fax:
Practice Address - Street 1:425 WEST GUADALUPE RD #113
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-3202
Practice Address - Country:US
Practice Address - Phone:480-926-3102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1124110697OtherIND NPI
AZZ79399Medicare PIN