Provider Demographics
NPI:1144951732
Name:MILLER, COLIN (ND)
Entity type:Individual
Prefix:DR
First Name:COLIN
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12429 CEDAR RD STE 9
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3185
Mailing Address - Country:US
Mailing Address - Phone:216-302-8278
Mailing Address - Fax:
Practice Address - Street 1:12429 CEDAR RD STE 9
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44106-3185
Practice Address - Country:US
Practice Address - Phone:216-302-8278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0134176175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath