MEDICARE: DR. MATTHEW JOSEPH HAUMESSER 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	3063	OH

General Provider Information

NPI Number	:	1710963848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW JOSEPH HAUMESSER DC

Provider Business Mailing Address
First Line	:	684 OLD STATE ROUTE 74
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245
Country	:	US
Telephone Number	:	513-528-2200
Fax Number	:	513-528-7991

Provider Business Practice Location Address
First Line	:	684 OLD STATE ROUTE 74
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245
Country	:	US
Telephone Number	:	513-528-2200
Fax Number	:	513-528-7991

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	03/16/2017

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