Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 3841 | OH |
N | 111NN0400X | Neurology | 3841 | OH |
N | 111NN1001X | Nutrition | 3841 | OH |
N | 111NR0400X | Rehabilitation Chiropractor | 3841 | OH |
N | 111NT0100X | Thermography | 3841 | OH |
Y | 111NX0100X | Occupational Health | 3841 | OH |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 3841 | OH |
NPI | 1811177009 |
---|---|
Provider Name | Dr. Robert Douglas Miller |
First Address | Plain City, OH 43064-8018 |
Second Address | Plain City, OH 43064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2007 |
Last Update Date | 25/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1295911535 | ENTITY NPI (01) | OH |
2811158 | (05) | OH |
2831216 | (05) | OH |