MEDICARE: MR. DAVID JEFFREY AUXIER BS 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	038008461	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	03128308	OTHER	IL	BLUE CROSS OF IL

General Provider Information

NPI Number	:	1265538961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID JEFFREY AUXIER BS DC

Provider Business Mailing Address
First Line	:	15621 STATE ROUTE 199
Second Line	:
City	:	PEMBERVILLE
State	:	OH
Zip	:	43450-9760
Country	:	US
Telephone Number	:	217-491-1347
Fax Number	:

Provider Business Practice Location Address
First Line	:	15621 STATE ROUTE 199
Second Line	:
City	:	PEMBERVILLE
State	:	OH
Zip	:	43450-9760
Country	:	US
Telephone Number	:	217-491-1347
Fax Number	:

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	05/29/2013

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