MEDICARE: DR. CORT CHRISTOPHER EHLMAN D.C.

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	016357	CA

General Provider Information

NPI Number	:	1881621704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CORT CHRISTOPHER EHLMAN D.C.

Provider Business Mailing Address
First Line	:	5800 ANTELOPE RD STE A5
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95842-3900
Country	:	US
Telephone Number	:	916-729-0311
Fax Number	:	916-729-3890

Provider Business Practice Location Address
First Line	:	5800 ANTELOPE RD STE A5
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95842-3900
Country	:	US
Telephone Number	:	916-729-0311
Fax Number	:	916-729-3890

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	07/08/2007

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