MEDICARE: ALTERNATIVE HEALTHCARE CENTER, INC.

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	CE005814	MO

General Provider Information

NPI Number	:	1912176496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE HEALTHCARE CENTER, INC.

Provider Business Mailing Address
First Line	:	1721 W ELFINDALE ST
Second Line	:	SUITE 103
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-1295
Country	:	US
Telephone Number	:	417-832-0666
Fax Number	:	417-862-1099

Provider Business Practice Location Address
First Line	:	1721 W ELFINDALE ST
Second Line	:	SUITE 103
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-1295
Country	:	US
Telephone Number	:	417-832-0666
Fax Number	:	417-862-1099

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID TRYBUS
Credential	:	D.C.
Telephone Number	:	417-832-0666

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	02/28/2008

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