MEDICARE: WINCHESTER CHIROPRACTIC, P.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	111NS0005X	Sports Physician Chiropractor	2004010186	MO
2	111N00000X	Chiropractor	2003011597	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	653134	OTHER	MO	UNITED HEALTHCARE
2	471354	OTHER	MO	BLUE CROSS BLUE SHIELD
3	665379	OTHER	MO	UNITED HEALTHCARE
4	V03758	OTHER	MO	MERCY
5	551715	OTHER	MO	HEALTHLINK
6	713979	OTHER	MO	HEALTHLINK
7	7171684	OTHER	MO	AETNA
8	7368716	OTHER	MO	AETNA
9	1255473864	OTHER		NPI FOR DR. WINCHESTER
10	1326180951	OTHER		NIP DR. HILGEFORT
11	195807	OTHER	MO	BLUE CROSS BLUE SHIELD
12	U96934	OTHER	MO	MERCY

General Provider Information

NPI Number	:	1568661080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINCHESTER CHIROPRACTIC, P.C.

Provider Business Mailing Address
First Line	:	40 WALTER CT
Second Line	:
City	:	MOSCOW MILLS
State	:	MO
Zip	:	63362-1197
Country	:	US
Telephone Number	:	636-356-5557
Fax Number	:	636-356-5558

Provider Business Practice Location Address
First Line	:	40 WALTER CT
Second Line	:
City	:	MOSCOW MILLS
State	:	MO
Zip	:	63362-1197
Country	:	US
Telephone Number	:	636-356-5557
Fax Number	:	636-356-5558

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DR. MATTHEW HILGEFORT
Credential	:	D.C.
Telephone Number	:	636-356-5557

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	11/10/2008

Similar Medicare Providers

1326180951 — DR. MATTHEW THOMAS HILGEFORT D.C.
Practice Location Address:

40 WALTER CT
MOSCOW MILLS, MO
63362-1197

Practice Phone: 636-356-5557
Practice Fax: 636-356-5558

1255742011 — AUSTIN PANTER D.C
Practice Location Address:

40 WALTER CT
MOSCOW MILLS, MO
63362-1197

Practice Phone: 636-356-5557
Practice Fax:

1174024491 — HAYLEY WHITMAN LPCC-S, IMFT-S
Practice Location Address:

591 BOSTON MILLS RD STE 500
HUDSON, OH
44236-1197

Practice Phone: 330-810-6860
Practice Fax:

1457949679 — HEALING LEGACY COUNSELING LLC
Practice Location Address:

591 BOSTON MILLS RD STE 500
HUDSON, OH
44236-1197

Practice Phone: 330-810-6860
Practice Fax:

1164306379 — RACHEL RICCHIUTO
Practice Location Address:

591 BOSTON MILLS RD STE 500
HUDSON, OH
44236-1197

Practice Phone: 330-810-6860
Practice Fax:

1427126242 — A & B MEDICAL SUPPLIES, LLC
Practice Location Address:

444 GRACIE LN
MOSCOW MILLS, MO
63362-1142

Practice Phone: 636-356-4803
Practice Fax: 636-356-4605

Directions to “WINCHESTER CHIROPRACTIC, P.C. ” Practice Location

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