MEDICARE: FARRELL CLINIC OF CHIROPRACTIC, PA

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	1235	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08407	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699845370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARRELL CLINIC OF CHIROPRACTIC, PA

Provider Business Mailing Address
First Line	:	152 TUNNEL RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28805-1853
Country	:	US
Telephone Number	:	828-254-7171
Fax Number	:	828-254-7229

Provider Business Practice Location Address
First Line	:	152 TUNNEL RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28805-1853
Country	:	US
Telephone Number	:	828-254-7171
Fax Number	:	828-254-7229

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN F FARRELL
Credential	:	DC
Telephone Number	:	828-254-7171

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	08/13/2008

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