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Physician Compare National (NPI:1669439535)

HEALTHCARE PROVIDER: JENNIFER MILLEN D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1669439535
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8921193525
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110104000689
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MILLEN
Individual professional last name
Provider First Name JENNIFER
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOGAN COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1795 ALYSHEBA WAY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 4103
Group Practice or individual's line 2 address
City LEXINGTON
Group Practice or individual's city
State KY
Group Practice or individual's state
Zip Code 405092435
Group Practice or individual's zip code (9 digits when available)
Phone Number 8593350419
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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