Provider Demographics
NPI:1750697413
Name:MILLIRON, DAVID MICHAEL (CHIROPRACTOR)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MICHAEL
Last Name:MILLIRON
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 EAST CARSON STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1835
Mailing Address - Country:US
Mailing Address - Phone:412-381-4422
Mailing Address - Fax:412-381-8503
Practice Address - Street 1:50 FREEPORT ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-2976
Practice Address - Country:US
Practice Address - Phone:412-781-5040
Practice Address - Fax:412-781-5042
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4997111N00000X
PADC010535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA165865Medicare PIN
KYK022940Medicare UPIN