Provider Demographics
NPI:1609810654
Name:MILLER, JAMES J (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:MILLER
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 1:1000 N MIAMI BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-2230
Mailing Address - Country:US
Mailing Address - Phone:919-687-2700
Mailing Address - Fax:919-682-8738
Practice Address - Street 1:1000 N MIAMI BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-2230
Practice Address - Country:US
Practice Address - Phone:919-687-2700
Practice Address - Fax:919-682-8738
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3318111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905548Medicaid
NC085Y1OtherBCBSNC PROVIDER NUMBER
NC085Y1OtherBCBSNC PROVIDER NUMBER
NC5905548Medicaid