Provider Demographics
NPI:1760518203
Name:MILLER, JULIA LOUISE (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:LOUISE
Last Name:MILLER
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 1:2351 PYRAMID WAY
Mailing Address - Street 2:SUITE 24
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-8703
Mailing Address - Country:US
Mailing Address - Phone:775-358-3590
Mailing Address - Fax:775-358-3844
Practice Address - Street 1:2351 PYRAMID WAY
Practice Address - Street 2:SUITE 24
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8703
Practice Address - Country:US
Practice Address - Phone:775-358-3590
Practice Address - Fax:775-358-3844
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC028823111N00000X
NVB01502111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1073998340OtherNPI
NV1760518203OtherNPI
WAU97182Medicare UPIN
WAU97182Medicare UPIN