JESSE GLENN MILLER (NPI# 1720170517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720170517 |
Entity Type | Individual |
Full Name | JESSE GLENN MILLER |
Credential | DC |
Practice Address |
300 W Shawnee St Ste B Muskogee OK 74401-4151 |
Practice Telephone | 9186839777 |
Practice Fax Number | 9186839778 |
Mailing Telephone | 9186839777 |
Mailing Fax Number | 9186839778 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2014-10-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3042 | OK | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100830610A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902426232 | Jesse D Miller | Counselor | 62 Newton Ter, Waterbury, CT 06708-1919 | 2020-04-16 |
1871805093 | Jesse Alfred Miller Jr. | Pediatrics | 1804 Hwy 45 Bypass, Jackson, TN 38305 | 2010-07-02 |
1710981378 | Jesse D Miller | Physical Therapist | 129 S Main St, Suite B, Hiawassee, GA 30546-3435 | 2005-06-10 |
1871076547 | Jesse Miller | Psychologist | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2018-09-10 |
1972023885 | Jesse Miller | Student in an Organized Health Care Education/Training Program | 1522 E A St, Casper, WY 82601 | 2017-06-21 |
1114373131 | Jesse Miller | Family Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2016-05-09 |
1215335641 | Jesse Lee Miller | Chiropractor | 520 S Grand Ave, Mount Pleasant, IA 52641-1843 | 2014-12-17 |
1861805277 | Jesse Miller | Counselor | 862 S Main Street Suite 4, Brigham City, UT 84302 | 2014-06-04 |
1326302431 | Jesse Miller | Counselor | 1509 Paseo Del Pueblo Sur, Taos, NM 87571-5922 | 2012-07-03 |
1861753618 | Jesse Lee Miller | Anesthesiology | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2012-06-07 |
Street Address |
300 W SHAWNEE ST STE B |
City | MUSKOGEE |
State | OK |
Zip Code | 74401-4151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
Find all providers in zip 74401 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003110438 | Miller Chiropractic Clinic, Pllc | Chiropractor | 300b W Shawnee St, Muskogee, OK 74401-4151 | 2010-12-28 |
1134338452 | Billy Mitchel Wade II | Chiropractor | 2102 Gibson St, Muskogee, OK 74403-2536 | 2007-05-22 |
1295947752 | Harold Douglas Boos Jr. | Chiropractor | 2626 W Okmulgee St, Muskogee, OK 74401-5152 | 2007-05-04 |
1780719625 | Lacey Michelle Schulz | Chiropractor | 2410 E Shawnee Rd, Suite C, Muskogee, OK 74403-1508 | 2007-02-22 |
1710044367 | Frank Jawayne Greenhaw Jr. | Chiropractor | 1805 N York Ste H, Muskogee, OK 74403 | 2007-01-02 |
1962572594 | Janway Chiropractic, Inc. P.C. | Chiropractor | 655 E Okmulgee St, Muskogee, OK 74403-5529 | 2006-11-09 |
1619052016 | Eric Dean Blackwood | Chiropractor | 2025 W Broadway St, Muskogee, OK 74401-2759 | 2006-10-25 |
1568479368 | James Walter Hines | Chiropractor | 25 W. Okmulgee Ave., Muskogee, OK 74401-7847 | 2006-08-02 |
1548293392 | Brant Scott Mcdaniel | Chiropractor | 1115 N York St, Muskogee, OK 74403-3500 | 2006-07-07 |
1083645261 | O'reilly Chiropractic P.C. | Chiropractor | 3103 Azalea Park Dr, Suite C, Muskogee, OK 74401-2210 | 2006-07-05 |
Find all providers in MUSKOGEE |
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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.