Provider Demographics
NPI:1922398072
Name:MILLER, ANN R (DC)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:R
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 1:23 COACH ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1529
Mailing Address - Country:US
Mailing Address - Phone:585-208-5529
Mailing Address - Fax:
Practice Address - Street 1:23 COACH ST STE 1B
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1529
Practice Address - Country:US
Practice Address - Phone:585-208-5529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005742111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor