Provider Demographics
NPI:1912927211
Name:MILLIGAN, STEVE (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:MILLIGAN
Suffix:
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 1:3182 OLD TUNNEL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4152
Mailing Address - Country:US
Mailing Address - Phone:925-256-1312
Mailing Address - Fax:925-256-1212
Practice Address - Street 1:3182 OLD TUNNEL RD
Practice Address - Street 2:SUITE D
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4152
Practice Address - Country:US
Practice Address - Phone:925-256-1312
Practice Address - Fax:925-256-1212
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 24512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0245122Medicare PIN
CADC0245120Medicare ID - Type Unspecified