MEDICARE: DR PAUL HYER CHIROPRACTIC CORPORATION

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	261Q00000X	Clinic/Center	DC 24797	CA

General Provider Information

NPI Number	:	1215204102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR PAUL HYER CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	2810 NUGGET AVE
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240-9494
Country	:	US
Telephone Number	:	760-379-3425
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 NUGGET AVE
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240-9494
Country	:	US
Telephone Number	:	760-379-3425
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL S HYER
Credential	:	D.C.
Telephone Number	:	760-379-3425

Provider Enumeration Date	:	11/21/2011
Last Update Date	:	11/21/2011

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