Provider Demographics
NPI:1013258169
Name:MILLER, MEGHAN ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:ELIZABETH
Last Name:MILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 N HARBOR BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-4167
Mailing Address - Country:US
Mailing Address - Phone:714-589-2619
Mailing Address - Fax:714-576-2551
Practice Address - Street 1:1440 N HARBOR BLVD STE 125
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4167
Practice Address - Country:US
Practice Address - Phone:714-589-2619
Practice Address - Fax:714-576-2551
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32562111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor