MEDICARE: DR. IAN B HOCHMAN 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	CH8798	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	668-369	OTHER	FL	ACN NUMBER

General Provider Information

NPI Number	:	1396895686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IAN B HOCHMAN D.C.

Provider Business Mailing Address
First Line	:	13714 SW 32ND ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3977
Country	:	US
Telephone Number	:	954-441-2557
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 NE 123RD ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2904
Country	:	US
Telephone Number	:	305-899-0777
Fax Number	:	305-899-0816

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/08/2007

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