Provider Demographics
NPI:1740283902
Name:MILLER, MARIE E (DC)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:E
Last Name:MILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:E
Other - Last Name:WAREHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1111 N 13TH ST STE 206
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-4251
Mailing Address - Country:US
Mailing Address - Phone:402-345-7500
Mailing Address - Fax:402-345-5228
Practice Address - Street 1:15514 WAREHOUSE ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-5510
Practice Address - Country:US
Practice Address - Phone:531-600-6542
Practice Address - Fax:531-600-6544
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID0972737Medicaid
NE350019040OtherRR MEDICARE
NE470729028-13Medicaid
NE09617OtherBCBS
NE277160Medicare ID - Type Unspecified