Jerrald C Miller (NPI# 1104992379, PAC ID# 7113108093) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1104992379 |
| PAC ID by PECOS | 7113108093 |
| Professional Enrollment ID | I20110224001009 |
| Full Name | Jerrald C Miller |
| Address |
135 1st E Ave Shakopee MN 55379-1309 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2006 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 135 1st E Ave, Shakopee, MN 55379-1309 |
| Street Address |
135 1ST E AVE |
| City | SHAKOPEE |
| State | MN |
| Zip | 55379-1309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Douglas Eckerman | Clinical Psychologist | County of Scott | 200 4th W Ave, Suite 300, Shakopee, MN 55379-1220 |
| Kim S Harmon | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Stephanie Stacy Smith | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Danelle Amber Williams Nelson | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Erin L Martin | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Duncan E Anderson | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Raymond J Kennedy Iii | Psychiatry | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Jennifer L Schuldt | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Morgan Claire Hittner-ashwell | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Amber Leigh Hilgart | Clinical Psychologist | County of Scott | 200 4th W Ave, Suite 300, Shakopee, MN 55379-1220 |
| Find all physicians in zip 55379 | |||
| City | SHAKOPEE |
| Zip Code | 55379 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SHAKOPEE + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.