Provider Demographics
NPI:1891050829
Name:MILLER, WHITNEY PAIGE (DC)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:PAIGE
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 1:1110 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:IA
Mailing Address - Zip Code:51012-1557
Mailing Address - Country:US
Mailing Address - Phone:712-221-5408
Mailing Address - Fax:
Practice Address - Street 1:423 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-1734
Practice Address - Country:US
Practice Address - Phone:712-225-1664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12092111N00000X
IA089643111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12092OtherTEXAS CHIROPRACTIC LICENSE