Jesse Glenn Miller in Muskogee - Chiropractor

Jesse Glenn Miller - NPI 1720170517

Jesse Glenn Miller is a Chiropractor in Muskogee, Oklahoma. Jesse Glenn Miller practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jesse Glenn Miller is 1720170517. The last update date is 2014-10-02.

Jesse Glenn Miller's current location address is 300 W Shawnee St Ste B, Muskogee, Oklahoma. You can contact this provider via phone number 9186839777 and fax number 9186839778. The mailing address for Jesse Glenn Miller is 300 W Shawnee St Ste B, Muskogee, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Jesse Glenn Miller
Address 300 W Shawnee St Ste B, Muskogee, Oklahoma
Phone Number 9186839777
Fax Number 9186839778
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1720170517
Provider Enumeration Date 2006-09-29
Last Updated Date 2014-10-02

Provider Mailing Address Detail

Address 300 W Shawnee St Ste B
City Muskogee
State Oklahoma (OK)
Post Code 744014151
Phone Number 9186839777
Fax Number 9186839778

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 3042
Definition:
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100830610A OK --

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FAQs about Jesse Glenn Miller

What is the unique identifier code issued to Jesse Glenn Miller by the Centers for Medicare & Medicaid Services (CMS)?

The Jesse Glenn Miller has been assigned the NPI (National Provider Identifier) 1720170517. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Jesse Glenn Miller located?

The Jesse Glenn Miller is located at 300 W Shawnee St Ste B, Muskogee, OK 744014151.

What is Jesse Glenn Miller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jesse Glenn Miller is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

When did Jesse Glenn Miller receive its 1720170517 assignment?

The Jesse Glenn Miller was assigned its 1720170517 on 2006-09-29, which is the date when this unique identifier was issued to the organization.

As of what date were the Jesse Glenn Miller's details last updated?

The information pertaining to the Jesse Glenn Miller, including its address, specialty, and other details, was most recently updated on 2014-10-02.

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