MEDICARE: DR. DANIEL L RICHTER 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	08001332	IN

General Provider Information

NPI Number	:	1356430771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL L RICHTER D.C.

Provider Business Mailing Address
First Line	:	120 N EAST ST
Second Line	:
City	:	TIPTON
State	:	IN
Zip	:	46072-1740
Country	:	US
Telephone Number	:	765-675-3755
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 N EAST ST
Second Line	:
City	:	TIPTON
State	:	IN
Zip	:	46072-1740
Country	:	US
Telephone Number	:	765-675-3755
Fax Number	:

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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