MEDICARE: DR. LYNN C METCALF 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	3215	OH

General Provider Information

NPI Number	:	1285822247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN C METCALF DC

Provider Business Mailing Address
First Line	:	881 N BEND RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1340
Country	:	US
Telephone Number	:	513-242-2888
Fax Number	:	513-242-2296

Provider Business Practice Location Address
First Line	:	881 N BEND RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1340
Country	:	US
Telephone Number	:	513-242-2888
Fax Number	:	513-242-2296

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

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	01/07/2010

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