MEDICARE: DR. ANDREW JAMES MELCHERT 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	0104001075	VA

General Provider Information

NPI Number	:	1588626956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JAMES MELCHERT D.C.

Provider Business Mailing Address
First Line	:	3201 SKIPWITH RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23294-4442
Country	:	US
Telephone Number	:	804-282-0403
Fax Number	:	804-273-6803

Provider Business Practice Location Address
First Line	:	3201 SKIPWITH RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23294-4442
Country	:	US
Telephone Number	:	804-282-0403
Fax Number	:	804-273-6803

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	10/28/2013

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