MEDICARE: TODD S ELWERT DC 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	1136	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	:	1932387537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TODD S ELWERT DC INC

Provider Business Mailing Address
First Line	:	5616 CHEVIOT RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7006
Country	:	US
Telephone Number	:	513-741-4700
Fax Number	:	513-741-4712

Provider Business Practice Location Address
First Line	:	5616 CHEVIOT RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7006
Country	:	US
Telephone Number	:	513-741-4700
Fax Number	:	513-741-4712

Authorized Official
Title or Position	:	OWNER
Name	:	TODD S ELWERT
Credential	:
Telephone Number	:	513-741-4700

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	04/22/2008

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