Provider Demographics
NPI:1831134212
Name:PAUL J. MILLER, D.C., P.C.
Entity Type:Organization
Organization Name:PAUL J. MILLER, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-721-4588
Mailing Address - Street 1:1004 SOUTH AVE W
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-7909
Mailing Address - Country:US
Mailing Address - Phone:406-721-4588
Mailing Address - Fax:406-721-1078
Practice Address - Street 1:1004 SOUTH AVE W
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7909
Practice Address - Country:US
Practice Address - Phone:406-721-4588
Practice Address - Fax:406-721-1078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty