MEDICARE: DR. MICHAEL E HANLON 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	DC009821	PA

General Provider Information

NPI Number	:	1700062452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL E HANLON D.C.

Provider Business Mailing Address
First Line	:	2508 W CRAWFORD AVE
Second Line	:
City	:	CONNELLSVILLE
State	:	PA
Zip	:	15425-1915
Country	:	US
Telephone Number	:	724-628-2504
Fax Number	:

Provider Business Practice Location Address
First Line	:	3909 WASHINGTON RD
Second Line	:	SUITE 318 DONALDSON'S CROSSROADS SHOPPING CENTER
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2544
Country	:	US
Telephone Number	:	724-969-0800
Fax Number	:

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

Provider Enumeration Date	:	01/11/2008
Last Update Date	:	01/11/2008

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