MEDICARE: DR. RICHARD MULCAHY DC

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	1922	OH

General Provider Information

NPI Number	:	1134294390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD MULCAHY DC

Provider Business Mailing Address
First Line	:	13357 LORAIN AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3408
Country	:	US
Telephone Number	:	216-941-1919
Fax Number	:	216-941-2020

Provider Business Practice Location Address
First Line	:	13357 LORAIN AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3408
Country	:	US
Telephone Number	:	216-941-1919
Fax Number	:	216-941-2020

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

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	07/08/2007

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