MEDICARE: CORE INTEGRATED HEALTH SC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1821658931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE INTEGRATED HEALTH SC

Provider Business Mailing Address
First Line	:	115 ENTERPRISE DR
Second Line	:
City	:	VERONA
State	:	WI
Zip	:	53593-9122
Country	:	US
Telephone Number	:	608-334-7700
Fax Number	:	608-845-7700

Provider Business Practice Location Address
First Line	:	115 ENTERPRISE DR
Second Line	:
City	:	VERONA
State	:	WI
Zip	:	53593-9122
Country	:	US
Telephone Number	:	608-334-7700
Fax Number	:	608-845-7700

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL ROBERT BEYLER
Credential	:	DC
Telephone Number	:	608-224-0191

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	06/20/2019

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Directions to “CORE INTEGRATED HEALTH SC ” Practice Location

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