MEDICARE: DR. PHILLIP BERNARD SCHRICKEL 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	1244	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861503047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILLIP BERNARD SCHRICKEL D.C.

Provider Business Mailing Address
First Line	:	52937 COUNTY RD. 16
Second Line	:
City	:	WEST LAFAYETTE
State	:	OH
Zip	:	43845
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	:	08/31/2006
Last Update Date	:	11/30/2007

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