MEDICARE: ASHLAND 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	111NX0800X	Orthopedic Chiropractor	2283	OH

General Provider Information

NPI Number	:	1154510469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHLAND CHIROPRACTIC CENTER, INC.

Provider Business Mailing Address
First Line	:	1182 TOWNSHIP ROAD 1175
Second Line	:
City	:	ASHLAND
State	:	OH
Zip	:	44805-1977
Country	:	US
Telephone Number	:	419-289-8592
Fax Number	:	419-289-5583

Provider Business Practice Location Address
First Line	:	1182 TOWNSHIP ROAD 1175
Second Line	:
City	:	ASHLAND
State	:	OH
Zip	:	44805-1977
Country	:	US
Telephone Number	:	419-289-8592
Fax Number	:	419-289-5583

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT EUGENE BACHELDER
Credential	:	D.C
Telephone Number	:	419-289-8592

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	01/18/2008

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Directions to “ASHLAND CHIROPRACTIC CENTER, INC. ” Practice Location

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