Jerrald C. Miller, D.C.

Chiropractor · Shakopee, MN

Individual Active NPI

NPI number 1104992379

Practice location

135 1st Ave E
Shakopee, MN 55379-1309
Phone
(952) 378-1813
Fax
(952) 378-1826

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NPI record

NPI
1104992379
Entity type
Individual (Type 1)
Enumeration date
November 28, 2006
Last updated
December 17, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 4822 MN

About Dr. Miller

Jerrald C. Miller, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 135 1st Ave E, Shakopee, MN 55379-1309. The NPI number 1104992379 was assigned on November 28, 2006 and the record was last updated on December 17, 2015.

Dr. Miller lists a license in the registry: #4822 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerrald C. Miller, D.C.?

The NPI number is 1104992379.

What is the phone number of Dr. Miller?

The phone number listed for the practice location is (952) 378-1813.

Where is Dr. Miller located?

135 1st Ave E, Shakopee, MN 55379-1309.

What is the taxonomy code for Dr. Miller?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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