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Jerrald C. Miller Dc PA

NPI 1962707703ActiveOrganization· Chiropractor· Shakopee, MN

Chiropractor in Shakopee, Minnesota, registered in NPPES in January 2011. The authorized official on file is Jerrald C. Miller, D.C., President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1962707703
StatusActive
Entity typeOrganization
NPI issuedJan 25, 2011
Last updated in NPPESDec 29, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X4822MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MN)

Medicare sources and data years

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