Provider Demographics
NPI:1891866075
Name:MILLER, CHRISTOPHER LEN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LEN
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4864 E BASELINE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4629
Mailing Address - Country:US
Mailing Address - Phone:480-558-1900
Mailing Address - Fax:480-633-6086
Practice Address - Street 1:3570 S VAL VISTA DR
Practice Address - Street 2:STE 110
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7327
Practice Address - Country:US
Practice Address - Phone:480-899-9923
Practice Address - Fax:480-899-0196
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19914111N00000X
AZ8040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1891866075Medicare PIN
CA1891866075Medicare PIN