Provider Demographics
NPI:1265522304
Name:MILLER, CHAD AARON (DC)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:AARON
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 1:4630 ANTELOPE CREEK RD 100
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5581
Mailing Address - Country:US
Mailing Address - Phone:402-420-2677
Mailing Address - Fax:402-420-3030
Practice Address - Street 1:6200 S 58TH ST STE A
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6406
Practice Address - Country:US
Practice Address - Phone:402-420-2677
Practice Address - Fax:402-420-3030
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1390111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
16-1731148OtherUNITED HEALTHCARE
NE247828OtherMIDLANDS CHOICE
NE09828OtherBCBS OF NEBRASKA
NE10025290300Medicaid
NE247828OtherMIDLANDS CHOICE
16-1731148OtherUNITED HEALTHCARE