MEDICARE: NICHOLAS MATTHEW HOAR DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC-05090	OH

General Provider Information

NPI Number	:	1053985465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS MATTHEW HOAR DC

Provider Business Mailing Address
First Line	:	9531 FIELDS ERTEL RD
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-7320
Country	:	US
Telephone Number	:	513-640-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	9531 FIELDS ERTEL RD
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-7320
Country	:	US
Telephone Number	:	513-640-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2021
Last Update Date	:	05/19/2021

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Directions to “ NICHOLAS MATTHEW HOAR DC” Practice Location

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