MEDICARE: DR. WESLEY MOREFIELD 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	4933	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00406875	OTHER	KY	RRMEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	670409	OTHER	KY	ACN
2	708614	OTHER	KY	HEALTHLINK
3	1223580	OTHER	KY	CHA
4	7036717	OTHER	KY	AETNA
6	00000364523	OTHER	KY	BC/BS
7	670409117532	OTHER	KY	UHC

General Provider Information

NPI Number	:	1700816493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WESLEY MOREFIELD D.C.

Provider Business Mailing Address
First Line	:	7030 US HIGHWAY 68
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42003-9108
Country	:	US
Telephone Number	:	270-898-2111
Fax Number	:	270-898-2112

Provider Business Practice Location Address
First Line	:	7030 US HIGHWAY 68
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42003-9108
Country	:	US
Telephone Number	:	270-898-2111
Fax Number	:	270-898-2112

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	01/07/2009

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Directions to “ DR. WESLEY MOREFIELD D.C.” Practice Location

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