Provider Demographics
NPI:1821074410
Name:MILLS CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:MILLS CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-548-7999
Mailing Address - Street 1:115 S BELMONT DR
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-8933
Mailing Address - Country:US
Mailing Address - Phone:724-548-7999
Mailing Address - Fax:724-543-5797
Practice Address - Street 1:115 S BELMONT DR
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-8933
Practice Address - Country:US
Practice Address - Phone:724-548-7999
Practice Address - Fax:724-543-5797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1014318480001Medicaid
PA1014318480001Medicaid
PAU83932Medicare UPIN