MEDICARE: DR. COLLEEN R. KACHELE DC

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	38MC00467700	NJ

General Provider Information

NPI Number	:	1588740393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLLEEN R. KACHELE DC

Provider Business Mailing Address
First Line	:	PO BOX 945
Second Line	:
City	:	MAHWAH
State	:	NJ
Zip	:	07430-0945
Country	:	US
Telephone Number	:	201-818-3010
Fax Number	:	201-818-8799

Provider Business Practice Location Address
First Line	:	115 FRANKLIN TPKE
Second Line	:
City	:	MAHWAH
State	:	NJ
Zip	:	07430-1325
Country	:	US
Telephone Number	:	201-818-3010
Fax Number	:	201-818-8799

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. COLLEEN R. KACHELE DC” Practice Location

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