Provider Demographics
NPI:1255454385
Name:MILLER, STEVEN D (DC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:D
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CENTER ST
Mailing Address - Street 2:SUITE 518
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3031
Mailing Address - Country:US
Mailing Address - Phone:413-584-0421
Mailing Address - Fax:413-584-6421
Practice Address - Street 1:16 CENTER ST
Practice Address - Street 2:SUITE 518
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3031
Practice Address - Country:US
Practice Address - Phone:413-584-0421
Practice Address - Fax:413-584-6421
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA769111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35574OtherBCBS
MA666801OtherACN
MA666801OtherACN