MEDICARE: DR. DENNIS JOSIP PUSKARICH 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	3447	OH

General Provider Information

NPI Number	:	1194728071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS JOSIP PUSKARICH D.C.

Provider Business Mailing Address
First Line	:	623 PARK MEADOW RD STE F
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2876
Country	:	US
Telephone Number	:	740-244-4177
Fax Number	:	614-573-7641

Provider Business Practice Location Address
First Line	:	623 PARK MEADOW RD STE F
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2876
Country	:	US
Telephone Number	:	614-505-3510
Fax Number	:	614-573-7641

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	11/01/2023

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