MEDICARE: ABILITY CHIROPRACTIC HILLIARD 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

General Provider Information

NPI Number	:	1528630258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITY CHIROPRACTIC HILLIARD LLC

Provider Business Mailing Address
First Line	:	3947 BRITTON PKWY
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-1964
Country	:	US
Telephone Number	:	419-543-2727
Fax Number	:	614-907-9355

Provider Business Practice Location Address
First Line	:	3947 BRITTON PKWY
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-1964
Country	:	US
Telephone Number	:	419-543-2727
Fax Number	:	614-907-9355

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN MABRY
Credential	:	DC
Telephone Number	:	419-543-2727

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	07/13/2021

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