Provider Demographics
NPI:1255390431
Name:MILLER, DAVID K (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:2851 JOHNSTON ST STE 514
Mailing Address - Street 2:2851 JOHNSTON ST SUITE 514
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3243
Mailing Address - Country:US
Mailing Address - Phone:337-981-0041
Mailing Address - Fax:337-981-0211
Practice Address - Street 1:116A FOREMAN DR
Practice Address - Street 2:116-A FOREMAN DR
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6208
Practice Address - Country:US
Practice Address - Phone:337-981-0041
Practice Address - Fax:337-981-0042
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA522111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAT87195Medicare UPIN
LA59338Medicare ID - Type Unspecified