Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK GLENN MILLER, CTN
Active Sole ProprietorMR. JACK GLENN MILLER, CTN is a Homeopath healthcare provider located in KINGMAN, Arizona. NPI 1619274867 is currently active in the NPPES registry. Verify at CMS.
Homeopath · KINGMAN, AZ
Registration Details
- NPI Number
- 1619274867
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2011 (15.27971640123 yrs)
- Last Updated
- Jan 25, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
1308 N STOCKTON HILL RD STE A-153KINGMAN, AZ, 864015139Browse AZ providers · Browse ZIP 86401
- Phone
- 9285655853
- Primary Specialty
-
Homeopath
175L00000X
- Additional Specialty
- Homeopath
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.