Healthcare Provider Details

I. General information

NPI: 1689505406
Provider Name (Legal Business Name): MADISON JUNE MILLER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 S HENRY ST
FARMINGTON MO
63640-1807
US

IV. Provider business mailing address

331 CHERRY CREEK LN
FARMINGTON MO
63640-7835
US

V. Phone/Fax

Practice location:
  • Phone: 573-755-8018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2026022152
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: