Healthcare Provider Details

I. General information

NPI: 1629989090
Provider Name (Legal Business Name): JAMES MILLESON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 N 2ND ST
IRONTON OH
45638-1052
US

IV. Provider business mailing address

2016 N 2ND ST
IRONTON OH
45638-1052
US

V. Phone/Fax

Practice location:
  • Phone: 740-646-4131
  • Fax:
Mailing address:
  • Phone: 740-646-4131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-01919
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: