MEDICARE: DR. MICHAEL EVERET TREICHLER DC, ATC, EXPH

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	111NS0005X	Sports Physician Chiropractor	DC007172L	PA

General Provider Information

NPI Number	:	1043205487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL EVERET TREICHLER DC, ATC, EXPH

Provider Business Mailing Address
First Line	:	1433 BRIDGE ST
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-1118
Country	:	US
Telephone Number	:	717-737-9590
Fax Number	:	717-770-2059

Provider Business Practice Location Address
First Line	:	431 BRIDGE ST
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-1929
Country	:	US
Telephone Number	:	717-774-5376
Fax Number	:	717-770-2059

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	02/01/2017

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