MEDICARE: DR. DANIEL LEE MILLER DC

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	DC009635	PA

General Provider Information

NPI Number	:	1306988621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL LEE MILLER DC

Provider Business Mailing Address
First Line	:	11579 SPRING RIDGE ROAD
Second Line	:
City	:	SHIPPENSBURG
State	:	PA
Zip	:	17257
Country	:	US
Telephone Number	:	717-658-1440
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 WEST PINE STREET
Second Line	:
City	:	MT HOLLY
State	:	PA
Zip	:	17065
Country	:	US
Telephone Number	:	717-486-7666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/08/2007

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