MEDICARE: MICHAEL BARRY HIRSCH D.C.

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	CH4754	FL

General Provider Information

NPI Number	:	1275751877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BARRY HIRSCH D.C.

Provider Business Mailing Address
First Line	:	3717 W BOYNTON BEACH BLVD
Second Line	:	SUITE 9
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4540
Country	:	US
Telephone Number	:	561-737-7334
Fax Number	:

Provider Business Practice Location Address
First Line	:	3717 W BOYNTON BEACH BLVD
Second Line	:	SUITE 9
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4540
Country	:	US
Telephone Number	:	561-737-7334
Fax Number	:

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

Provider Enumeration Date	:	04/22/2007
Last Update Date	:	07/08/2007

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