MEDICARE: CHASE MICHAEL VANTILBURGH

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	DC-05520	OH

General Provider Information

NPI Number	:	1811543424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHASE MICHAEL VANTILBURGH

Provider Business Mailing Address
First Line	:	5444 FLINT CREEK AVE
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-9648
Country	:	US
Telephone Number	:	937-710-2244
Fax Number	:

Provider Business Practice Location Address
First Line	:	3947 BRITTON PKWY
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-1964
Country	:	US
Telephone Number	:	614-484-9355
Fax Number	:

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

Provider Enumeration Date	:	08/11/2019
Last Update Date	:	03/11/2026

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Directions to “ CHASE MICHAEL VANTILBURGH ” Practice Location

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