MEDICARE: DR. MELODY D MERGENTHALER 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	B878	NV
2	111N00000X	Chiropractor	3126	OH

General Provider Information

NPI Number	:	1376585141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELODY D MERGENTHALER D.C.

Provider Business Mailing Address
First Line	:	PO BOX 325
Second Line	:
City	:	NEW WASHINGTON
State	:	OH
Zip	:	44854-0325
Country	:	US
Telephone Number	:	419-492-2129
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 S KIBLER ST
Second Line	:
City	:	NEW WASHINGTON
State	:	OH
Zip	:	44854-9771
Country	:	US
Telephone Number	:	419-492-2129
Fax Number	:

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	02/12/2014

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