Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | OH3070 | OH |
NPI | 1003897471 |
---|---|
Provider Name | Dr. Craig Joseph Miladin |
First Address | East Liverpool, OH 43920 |
Second Address | East Liverpool, OH 43920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 17/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U57781 | (02) |