MEDICARE: GOTTSCHLING CHIROPRACTIC CENTER, INC.

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	1257	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	44-00307	OTHER	OH	UNITED HEALTH CARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	268600743-00	OTHER	OH	BWC
4	000000194874	OTHER	OH	UNISON
5	000000139658	OTHER	OH	ANTHEM
6	10284803700	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1134318017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOTTSCHLING CHIROPRACTIC CENTER, INC.

Provider Business Mailing Address
First Line	:	605 S TRIMBLE RD
Second Line	:	SUITE A
City	:	MANSFIELD
State	:	OH
Zip	:	44906-4112
Country	:	US
Telephone Number	:	419-756-2986
Fax Number	:	515-583-6974

Provider Business Practice Location Address
First Line	:	605 S TRIMBLE RD
Second Line	:	SUITE A
City	:	MANSFIELD
State	:	OH
Zip	:	44906-4112
Country	:	US
Telephone Number	:	419-756-2986
Fax Number	:	515-583-6974

Authorized Official
Title or Position	:	DOCTOR
Name	:	MARTIN J GOTTSCHLING
Credential	:	D. C.
Telephone Number	:	419-756-0701

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	04/20/2008

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