MEDICARE: MILLER FAMILY CHIROPRACTIC INC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1316129471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLER FAMILY CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	1658 SAINT JOHN PL
Second Line	:
City	:	KINGS MILLS
State	:	OH
Zip	:	45034-9719
Country	:	US
Telephone Number	:	513-598-9700
Fax Number	:	513-598-9701

Provider Business Practice Location Address
First Line	:	4342 HARRISON AVE STE 1
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-3322
Country	:	US
Telephone Number	:	513-598-9700
Fax Number	:	513-598-9701

Authorized Official
Title or Position	:	CHIRPRACTOR/OWNER
Name	:	DR. MICHAEL N MILLER
Credential	:	D.C.
Telephone Number	:	513-598-9700

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	02/15/2012

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