MEDICARE: DR. DAVID ANDREW CORD D.C.

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	3655	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000388539	OTHER	OH	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	273329616	OTHER	OH	OBWC

General Provider Information

NPI Number	:	1134133093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ANDREW CORD D.C.

Provider Business Mailing Address
First Line	:	111 WELLINGTON PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-1758
Country	:	US
Telephone Number	:	513-621-0007
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 WELLINGTON PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-1758
Country	:	US
Telephone Number	:	513-621-0007
Fax Number	:	513-241-4957

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	09/16/2010

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