MR. JACK GLENN MILLER (NPI# 1619274867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619274867 |
| Entity Type | Individual |
| Full Name | MR. JACK GLENN MILLER |
| Credential | CTN |
| Practice Address |
1308 N Stockton Hill Rd Ste A-153 Kingman AZ 86401-5139 |
| Mailing Address |
1308 N Stockton Hill Rd Ste A Kingman AZ 86401-5190 |
| Practice Telephone | 9285655853 |
| Mailing Telephone | 9285655853 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2013-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 175F00000X | Naturopath | Other Service Providers | ||
| Y | 175L00000X | Homeopath | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1396127569 | Jack Parker Miller Jr. | Family Medicine | 2000 E Greenville St Ste 3600, Anmed Health Family Medicine Residency Prog., Anderson, SC 29621-1725 | 2015-06-24 |
| 1407130198 | Jack Lawrence Miller | Massage Therapist | 7620 N Hartman Ln Ste 184, Tucson, AZ 85743-7485 | 2011-09-29 |
| 1033350889 | Jack M. Miller | Obstetrics & Gynecology | 6406 E 108th St, Tulsa, OK 74137-8907 | 2009-03-07 |
| 1073770764 | Jack Randolph Miller | Dentist | 2078 Ne Professional Ct, Bend, OR 97701-6077 | 2008-05-20 |
| 1801912191 | Jack L Miller | Preventive Medicine | 220 Cobb Pkwy N, Suite 400, Marietta, GA 30062-3581 | 2007-03-21 |
| 1245377589 | Jack A Miller | Psychiatry & Neurology | 384 West Rd, Alford, MA 01266-9756 | 2007-01-30 |
| 1598830465 | Jack J. Miller | Dentist | 3716 Pontoon Rd, Granite City, IL 62040-4252 | 2006-11-22 |
| 1497824627 | Jack Edwin Miller | Psychiatry & Neurology | 765 Baywood Dr, #231, Petaluma, CA 94954 | 2006-11-06 |
| 1942288949 | Jack W. Miller | Dentist | 2203 Sweetbriar St, Wichita, KS 67204-5518 | 2006-01-09 |
| Street Address |
1308 N STOCKTON HILL RD STE A-153 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-5139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 175L00000X |
| Grouping | Other Service Providers |
| Classification | Homeopath |
| A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 26th edition. Philadelphia: W.B. Saunders Company, 1981. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446796 | Letha Martin | Homeopath | 3225 S Alma School Rd # 115, Chandler, AZ 85248-3763 | 2019-06-20 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1275884884 | Brian L. Cabin, Md, PC | Homeopath | 772 N Country Club Rd, Tucson, AZ 85716-4535 | 2012-09-21 |
| 1033446471 | Armando Reyes | Homeopath | 3373 N 129th Dr, Avondale, AZ 85392-6672 | 2009-11-05 |
| 1134455975 | Natisha Frances Duffy | Homeopath | Hc 63 Box 285, 2 Miles W of Hwy 87 Mp 380, Winslow, AZ 86047-9420 | 2009-10-29 |
| 1164666129 | Bonnie M Phelps | Homeopath | 616 N Stewart Ave, Tucson, AZ 85716-4449 | 2009-04-21 |
| 1942477385 | Kanoky, LLC | Homeopath | 1321 E Northern Ave, Phoenix, AZ 85020-4218 | 2008-05-14 |
| 1376662148 | Gabriel K Cousens | Homeopath | 686 Harshaw Ave., Patagonia, AZ 85624 | 2007-03-29 |
| 1609994896 | Emily Rose Jagodzinski | Homeopath | 16424 N 113th Ave, Surprise, AZ 85378-9340 | 2007-03-26 |
| 1144372269 | Todd Anthony Rowe | Homeopath | 2001 W Camelback Rd, Suite 150, Phoenix, AZ 85015-3466 | 2007-01-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.