MEDICARE: HOWARD 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	08000546	IN

General Provider Information

NPI Number	:	1457540098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	808 W WHITE RIVER BLVD
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-3868
Country	:	US
Telephone Number	:	765-254-9481
Fax Number	:	765-254-9493

Provider Business Practice Location Address
First Line	:	808 W WHITE RIVER BLVD
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-3868
Country	:	US
Telephone Number	:	765-254-9481
Fax Number	:	765-254-9493

Authorized Official
Title or Position	:	OWNER
Name	:	G. MATT HOWARD
Credential	:	D.C.
Telephone Number	:	765-254-9481

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	10/19/2007

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Directions to “HOWARD CHIROPRACTIC LLC ” Practice Location

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