MEDICARE: DR. JOSEPH TODD BISH 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	DC005763L	PA

General Provider Information

NPI Number	:	1235192238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH TODD BISH DC

Provider Business Mailing Address
First Line	:	220 BROAD ST
Second Line	:
City	:	NEW BETHLEHEM
State	:	PA
Zip	:	16242-1002
Country	:	US
Telephone Number	:	814-275-4030
Fax Number	:	814-275-4483

Provider Business Practice Location Address
First Line	:	220 BROAD ST
Second Line	:
City	:	NEW BETHLEHEM
State	:	PA
Zip	:	16242-1002
Country	:	US
Telephone Number	:	814-275-4030
Fax Number	:	814-275-4483

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. JOSEPH TODD BISH DC” Practice Location

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