MEDICARE: LIFE POINT CHIROPRACTIC & WELLNESS CENTER, LLC

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	12414	TX

General Provider Information

NPI Number	:	1871926659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE POINT CHIROPRACTIC & WELLNESS CENTER, LLC

Provider Business Mailing Address
First Line	:	4236 N I-35
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3408
Country	:	US
Telephone Number	:	940-218-1395
Fax Number	:	940-218-1396

Provider Business Practice Location Address
First Line	:	4236 N I-35
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3408
Country	:	US
Telephone Number	:	940-218-1395
Fax Number	:	940-218-1396

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. NICHOLAS A MARKEL
Credential	:	DC
Telephone Number	:	940-218-1395

Provider Enumeration Date	:	08/15/2013
Last Update Date	:	08/15/2013

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