MEDICARE: CHIROPRACTIC ASSOCIATES OF NEW

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	4140	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	:	1912295460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC ASSOCIATES OF NEW

Provider Business Mailing Address
First Line	:	4810 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1602
Country	:	US
Telephone Number	:	614-878-3533
Fax Number	:	866-713-4492

Provider Business Practice Location Address
First Line	:	4810 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1602
Country	:	US
Telephone Number	:	614-878-3533
Fax Number	:	614-878-3521

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFREY CARL COVAULT
Credential	:	D.C.
Telephone Number	:	740-706-1760

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	12/08/2022

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Directions to “CHIROPRACTIC ASSOCIATES OF NEW ” Practice Location

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