Healthcare Provider Details

I. General information

NPI: 1013193564
Provider Name (Legal Business Name): MILLER HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2008
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 W LINCOLNWAY
MORRISON IL
61270-2206
US

IV. Provider business mailing address

304 S 2ND ST PO BOX 0361
CLINTON IA
52732-4201
US

V. Phone/Fax

Practice location:
  • Phone: 563-242-5316
  • Fax: 563-242-3128
Mailing address:
  • Phone: 563-242-5316
  • Fax: 563-242-3128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name: LINDA DIRKS
Title or Position: BILLING OFFICE MANAGER
Credential:
Phone: 563-242-5316