MEDICARE: DR. CHRISTOPHER J MILLER DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	00303	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134197023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER J MILLER DPM

Provider Business Mailing Address
First Line	:	117 TRADEPARK DR
Second Line	:
City	:	SOMERSET
State	:	KY
Zip	:	42503-3428
Country	:	US
Telephone Number	:	606-679-2773
Fax Number	:	606-679-4626

Provider Business Practice Location Address
First Line	:	117 TRADEPARK DR
Second Line	:
City	:	SOMERSET
State	:	KY
Zip	:	42503-3428
Country	:	US
Telephone Number	:	606-679-2773
Fax Number	:	606-679-4626

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	10/29/2007

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