MEDICARE: DR. CORY ANDREW PIKE 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	006-0001120	VT

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

General Provider Information

NPI Number	:	1528011855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CORY ANDREW PIKE D.C.

Provider Business Mailing Address
First Line	:	20 LINCOLN STREET
Second Line	:
City	:	ESSEX JUNCTION
State	:	VT
Zip	:	05452-6100
Country	:	US
Telephone Number	:	802-879-3900
Fax Number	:	802-879-3511

Provider Business Practice Location Address
First Line	:	20 LINCOLN STREET
Second Line	:
City	:	ESSEX JUNCTION
State	:	VT
Zip	:	05452-6100
Country	:	US
Telephone Number	:	802-879-3900
Fax Number	:	802-879-3511

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	04/23/2014

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