MEDICARE: LEWIS CENTER CHIROPRACTIC INC

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	3447	OH

General Provider Information

NPI Number	:	1407293251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEWIS CENTER CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	171 HANCOCK ST
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-5020
Country	:	US
Telephone Number	:	740-244-4177
Fax Number	:

Provider Business Practice Location Address
First Line	:	623 PARK MEADOW RD STE F
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2876
Country	:	US
Telephone Number	:	740-244-4177
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. DENNIS J PUSKARICH
Credential	:	D.C.
Telephone Number	:	740-244-4177

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	11/01/2023

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