Provider Demographics
NPI:1801990148
Name:SABINASH-MILLER, JOY C (DC)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:C
Last Name:SABINASH-MILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:502 JENSON AVE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201
Mailing Address - Country:US
Mailing Address - Phone:605-882-2333
Mailing Address - Fax:605-878-0882
Practice Address - Street 1:502 JENSON AVE SE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:SD
Practice Address - Zip Code:57201-5261
Practice Address - Country:US
Practice Address - Phone:605-882-2333
Practice Address - Fax:605-878-0882
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD806111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7604120Medicaid
U46812Medicare UPIN
SD3128Medicare ID - Type Unspecified
SD7604120Medicaid