Individual provider · Type 1 NPI
Jerrald C. Miller, DC
Chiropractor · Shakopee, MN
NPI number
1104992379
Active
Practice location
135 1st Ave E
Shakopee, MN 55379-1309
Fax (952) 378-1826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4822 (MN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1104992379
Jerrald C. Miller, DC's National Provider Identifier is 1104992379, issued on Nov 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Shakopee, MN. The record was last updated on Dec 17, 2015.