MEDICARE: ROLAND J AMASH 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	1886	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4666465	OTHER	OH	AETNA
3	4900519-004	OTHER	OH	CIGNA
4	000000120475	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1497853287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLAND J AMASH D.C.

Provider Business Mailing Address
First Line	:	6725 STATE ROUTE 60
Second Line	:
City	:	LOWELL
State	:	OH
Zip	:	45744-7307
Country	:	US
Telephone Number	:	740-373-8222
Fax Number	:	740-373-8297

Provider Business Practice Location Address
First Line	:	6725 STATE ROUTE 60
Second Line	:
City	:	LOWELL
State	:	OH
Zip	:	45744-7307
Country	:	US
Telephone Number	:	740-373-8222
Fax Number	:	740-373-8297

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/09/2007

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