MEDICARE: ALLIED 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

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

General Provider Information

NPI Number	:	1265584049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	1320 E STATE ST
Second Line	:	SUITE B
City	:	FREMONT
State	:	OH
Zip	:	43420-4365
Country	:	US
Telephone Number	:	419-332-6840
Fax Number	:	419-332-6929

Provider Business Practice Location Address
First Line	:	1320 E STATE ST
Second Line	:	SUITE B
City	:	FREMONT
State	:	OH
Zip	:	43420-4365
Country	:	US
Telephone Number	:	419-332-6840
Fax Number	:	419-332-6929

Authorized Official
Title or Position	:	OWNER
Name	:	DARREN L SNODGRASS
Credential	:
Telephone Number	:	419-332-6840

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	12/20/2012

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Directions to “ALLIED CHIROPRACTIC LLC ” Practice Location

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