MEDICARE: DR. EMILY HOPE SHURTZ 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	4043	OH

General Provider Information

NPI Number	:	1649501156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY HOPE SHURTZ D.C.

Provider Business Mailing Address
First Line	:	52937 COUNTY ROAD 16
Second Line	:
City	:	WEST LAFAYETTE
State	:	OH
Zip	:	43845-9770
Country	:	US
Telephone Number	:	740-545-9010
Fax Number	:	740-545-9054

Provider Business Practice Location Address
First Line	:	52937 COUNTY ROAD 16
Second Line	:
City	:	WEST LAFAYETTE
State	:	OH
Zip	:	43845-9770
Country	:	US
Telephone Number	:	740-545-9010
Fax Number	:	740-545-9054

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

Provider Enumeration Date	:	01/22/2010
Last Update Date	:	01/22/2010

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