MEDICARE: A BETTER LIFE CHIROPRACTIC, LLC

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

General Provider Information

NPI Number	:	1205461779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BETTER LIFE CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	PO BOX 53218
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45253-0218
Country	:	US
Telephone Number	:	513-385-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	9882 COLERAIN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1431
Country	:	US
Telephone Number	:	513-385-2273
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	DR. JOHN S SMITH
Credential	:	DC
Telephone Number	:	513-385-2273

Provider Enumeration Date	:	03/05/2020
Last Update Date	:	03/05/2020

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