MEDICARE: HAMILTON CHIROPRACTIC & THERAPY 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	4049	OH

General Provider Information

NPI Number	:	1932427663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMILTON CHIROPRACTIC & THERAPY CENTER, INC.

Provider Business Mailing Address
First Line	:	1592 GOODMAN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1005
Country	:	US
Telephone Number	:	513-729-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1592 GOODMAN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1005
Country	:	US
Telephone Number	:	513-729-4500
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MGR
Name	:	MICHELLE STANLEY
Credential	:
Telephone Number	:	216-469-6671

Provider Enumeration Date	:	05/05/2010
Last Update Date	:	05/05/2010

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