MEDICARE: NEWCARE CHIROPRACTIC & REHAB

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	302F00000X	Exclusive Provider Organization	1518	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1518DC01	OTHER	OH	HUMANA
2	610598300	OTHER	OH	US DEPARTMENT LABOR
3	00000019945	OTHER	OH	ANTHEM BCBS
4	44-01501	OTHER	OH	UNITED HEALTHCARE
5	611378910001	OTHER	OH	BWCWORKERSMAN

General Provider Information

NPI Number	:	1386717411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWCARE CHIROPRACTIC & REHAB

Provider Business Mailing Address
First Line	:	111 WELLINGTON PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-1758
Country	:	US
Telephone Number	:	513-241-0007
Fax Number	:	513-241-4957

Provider Business Practice Location Address
First Line	:	111 WELLINGTON PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-1758
Country	:	US
Telephone Number	:	513-241-0007
Fax Number	:	513-241-4957

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MARK R NEWMAN
Credential	:	DC
Telephone Number	:	513-241-0007

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	04/20/2008

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Directions to “NEWCARE CHIROPRACTIC & REHAB ” Practice Location

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