MEDICARE: BRUCE A WAHLER 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	SC2947	SC

General Provider Information

NPI Number	:	1184673618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE A WAHLER D.C.

Provider Business Mailing Address
First Line	:	2241 EBENEZER RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-9288
Country	:	US
Telephone Number	:	803-366-7778
Fax Number	:	803-328-2225

Provider Business Practice Location Address
First Line	:	2241 EBENEZER RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-9288
Country	:	US
Telephone Number	:	803-366-7778
Fax Number	:	803-328-2225

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	05/15/2013

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Directions to “ BRUCE A WAHLER D.C.” Practice Location

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