MEDICARE: HEKLER 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	3856	OH

General Provider Information

NPI Number	:	1508040403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEKLER CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	5616 CHEVIOT RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7006
Country	:	US
Telephone Number	:	513-741-4700
Fax Number	:	513-741-4712

Provider Business Practice Location Address
First Line	:	5616 CHEVIOT RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7006
Country	:	US
Telephone Number	:	513-741-4700
Fax Number	:	513-741-4712

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	DR. MICHAEL E HEKLER
Credential	:	D.C.
Telephone Number	:	513-376-1033

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	12/27/2007

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