MEDICARE: A. A. PLUS CHIROPRACTIC FAMILY CARE, INC.

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	2448	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

General Provider Information

NPI Number	:	1053655399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A. A. PLUS CHIROPRACTIC FAMILY CARE, INC.

Provider Business Mailing Address
First Line	:	2553 W BREESE RD
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45806-1607
Country	:	US
Telephone Number	:	419-991-2225
Fax Number	:	419-991-2225

Provider Business Practice Location Address
First Line	:	2553 W BREESE RD
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45806-1607
Country	:	US
Telephone Number	:	419-991-2225
Fax Number	:	419-991-2225

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KEITH EDWARD KOHLHORST
Credential	:	D.C.
Telephone Number	:	419-991-2225

Provider Enumeration Date	:	11/26/2012
Last Update Date	:	11/26/2012

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