1912993270 NPI number — DR. EMMA JANEEN MILLER DC

Table of content: DR. EMMA JANEEN MILLER DC (NPI 1912993270)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912993270 NPI number — DR. EMMA JANEEN MILLER DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLER
Provider First Name:
EMMA
Provider Middle Name:
JANEEN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LUCKEY
Provider Other First Name:
EMMA
Provider Other Middle Name:
JANEEN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1912993270
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/18/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1263 NATIONAL PIKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOPWOOD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-438-4000
Provider Business Mailing Address Fax Number:
724-438-7010

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1263 NATIOAL PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOPWOOD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-438-4000
Provider Business Practice Location Address Fax Number:
724-438-7010
Provider Enumeration Date:
09/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC-009172-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1008724450001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3457356 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1050874 . This is a "ASHN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 153280 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 698503 . This is a "ACN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2236766 . This is a "FIRST HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 913837 . This is a "COVENTRY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0973334 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 721488 . This is a "UPMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1537875 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1595297 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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