MEDICARE: BITHELL FAMILY 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	111N00000X	Chiropractor	4963	CO

General Provider Information

NPI Number	:	1851571558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BITHELL FAMILY CHIROPRACTIC P.C.

Provider Business Mailing Address
First Line	:	4344 WOODLANDS BLVD
Second Line	:	#120
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-2801
Country	:	US
Telephone Number	:	303-814-5940
Fax Number	:

Provider Business Practice Location Address
First Line	:	4344 WOODLANDS BLVD
Second Line	:	#120
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-2801
Country	:	US
Telephone Number	:	303-814-5940
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. THOMAS L BITHELL
Credential	:	D.C.
Telephone Number	:	303-814-5940

Provider Enumeration Date	:	11/09/2007
Last Update Date	:	09/23/2008

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