MEDICARE: TODD S MELSON 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	1234	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00131057	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000210218	OTHER		ANTHEM BCBS
2	1234C 03	OTHER		CHOICE CARE

General Provider Information

NPI Number	:	1609852094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD S MELSON DC

Provider Business Mailing Address
First Line	:	4771 GLENDALE MILFORD RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-3819
Country	:	US
Telephone Number	:	513-793-4300
Fax Number	:	513-469-1880

Provider Business Practice Location Address
First Line	:	4771 GLENDALE MILFORD RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-3819
Country	:	US
Telephone Number	:	513-793-4300
Fax Number	:	513-469-1880

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

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	06/25/2008

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Directions to “ TODD S MELSON DC” Practice Location

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