Provider Demographics
NPI:1801967187
Name:MILES, DAVID LEE (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LEE
Last Name:MILES
Suffix:
Gender:
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:PO BOX 24146
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-0146
Mailing Address - Country:US
Mailing Address - Phone:937-496-5075
Mailing Address - Fax:937-522-0647
Practice Address - Street 1:7009 TAYLORSVILLE RD STE D
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3176
Practice Address - Country:US
Practice Address - Phone:937-496-5075
Practice Address - Fax:937-522-0647
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4280111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F35391OtherBCBSM PROVIDER NUMBER
MI0F35391OtherBCBSM PROVIDER NUMBER
MI0M83270Medicare ID - Type Unspecified