MEDICARE: DR. ANITA LOUISE MIHLON 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	38MC00414300	NJ

General Provider Information

NPI Number	:	1326023243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANITA LOUISE MIHLON D.C.

Provider Business Mailing Address
First Line	:	709 ROUTE 9
Second Line	:
City	:	BAYVILLE
State	:	NJ
Zip	:	08721-2535
Country	:	US
Telephone Number	:	732-237-0933
Fax Number	:

Provider Business Practice Location Address
First Line	:	709 ROUTE 9
Second Line	:
City	:	BAYVILLE
State	:	NJ
Zip	:	08721-2535
Country	:	US
Telephone Number	:	732-237-0933
Fax Number	:

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	07/08/2007

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