Miller, Brian Joseph
Miller, Brian Joseph is an individual health care provider with primary practice located at 1354 W Taylor St , Chicago IL 60607-4754. He recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Neurology. Chiropractic Providers / Chiropractor is his primary health care specialty. Miller, Brian Joseph can be contacted via phone (312) 733-8589.Contact Information
Primary practice address
1354 W Taylor St
Chicago IL 60607-4754
Phone: (312) 733-8589
Fax: (312) 733-8533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038009492 | Illinois |
| Chiropractic Providers / Orthopedic | 111NX0800X | 038009492 | Illinois |
| Chiropractic Providers / Rehabilitation | 111NR0400X | 038009492 | Illinois |
| Chiropractic Providers / Neurology | 111NN0400X | 038009492 | Illinois |
Profile Details
| NPI number | 1922177765 |
|---|---|
| LBN Legal business name | Miller, Brian Joseph |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Oct 3rd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922177765 | NPPES |
| Illinois | Other | 01630306 | BCBS |
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