Miller, Daniel Jason

Miller, Daniel Jason is an individual health care provider with primary practice located at 3136 Nameoki Rd , Granite City IL 62040-5013. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Miller, Daniel Jason can be contacted via phone (618) 452-2300.

Contact Information

Primary practice address
3136 Nameoki Rd Granite City IL 62040-5013
Phone: (618) 452-2300
Fax: (618) 452-0373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1104832294
LBN Legal business name Miller, Daniel Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104832294 NPPES
Illinois Other 06026803 BLUE CROSS & BLUE SHIELD

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