MEDICARE: HESS CHIROPRACTIC, LLC

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	2111	OH

General Provider Information

NPI Number	:	1316192818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HESS CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	830 E JOHNSTOWN RD
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-3815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 E JOHNSTOWN RD
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-3815
Country	:	US
Telephone Number	:	614-471-7949
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. CHRISTOPHER ALLEN HESS
Credential	:	D.C.
Telephone Number	:	614-471-7949

Provider Enumeration Date	:	11/25/2008
Last Update Date	:	11/25/2008

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Directions to “HESS CHIROPRACTIC, LLC ” Practice Location

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