MEDICARE: AJM CHIROPRACTIC S.C.

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1275768400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJM CHIROPRACTIC S.C.

Provider Business Mailing Address
First Line	:	675 N BARKER RD STE 100
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-5937
Country	:	US
Telephone Number	:	414-988-5055
Fax Number	:	414-988-0034

Provider Business Practice Location Address
First Line	:	675 N BARKER RD STE 100
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-5937
Country	:	US
Telephone Number	:	414-988-5055
Fax Number	:	414-988-0034

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANTHONY J MILLER
Credential	:	D.C.
Telephone Number	:	414-988-5055

Provider Enumeration Date	:	05/18/2009
Last Update Date	:	09/09/2025

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