MEDICARE: HEIGHTS CHIROPRACTIC PHYSICIANS, LLC

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	3496	OH
2	111NX0800X	Orthopedic Chiropractor	731	OH
3	111N00000X	Chiropractor	2449	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013932961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEIGHTS CHIROPRACTIC PHYSICIANS, LLC

Provider Business Mailing Address
First Line	:	7480 OLD TROY PIKE
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-2663
Country	:	US
Telephone Number	:	937-235-2225
Fax Number	:	937-237-9973

Provider Business Practice Location Address
First Line	:	7480 OLD TROY PIKE
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-2663
Country	:	US
Telephone Number	:	937-235-2225
Fax Number	:	937-237-9973

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CAROL A SIMCOX
Credential	:
Telephone Number	:	937-235-2225

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	01/15/2013

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Directions to “HEIGHTS CHIROPRACTIC PHYSICIANS, LLC ” Practice Location

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