Provider Demographics
NPI:1700077567
Name:MILES, JOSEPH EDWARD JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EDWARD
Last Name:MILES
Suffix:JR
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 1:2508 US HIGHWAY 70 SW
Mailing Address - Street 2:SUITE E
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4758
Mailing Address - Country:US
Mailing Address - Phone:828-485-2990
Mailing Address - Fax:
Practice Address - Street 1:2508 US HIGHWAY 70 SW
Practice Address - Street 2:SUITE E
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4758
Practice Address - Country:US
Practice Address - Phone:828-485-2990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3766111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor