MEDICARE: BOCKELMANN CHIROPRACTIC

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	4438	CO

General Provider Information

NPI Number	:	1457656274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOCKELMANN CHIROPRACTIC

Provider Business Mailing Address
First Line	:	521 S SAINT VRAIN AVE
Second Line	:
City	:	ESTES PARK
State	:	CO
Zip	:	80517-7416
Country	:	US
Telephone Number	:	970-577-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 S SAINT VRAIN AVE
Second Line	:
City	:	ESTES PARK
State	:	CO
Zip	:	80517-7416
Country	:	US
Telephone Number	:	970-577-9000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SCOTT ALAN BOCKELMANN
Credential	:	D.C.
Telephone Number	:	970-577-9000

Provider Enumeration Date	:	01/26/2011
Last Update Date	:	01/26/2011

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Directions to “BOCKELMANN CHIROPRACTIC ” Practice Location

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