MEDICARE: DR. RICHARD OCHART D.C.

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	DC14177	CA

General Provider Information

NPI Number	:	1992836696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD OCHART D.C.

Provider Business Mailing Address
First Line	:	106 W PENNSYLVANIA AVE
Second Line	:	APT 704
City	:	REDLANDS
State	:	CA
Zip	:	92374-2249
Country	:	US
Telephone Number	:	909-335-0711
Fax Number	:

Provider Business Practice Location Address
First Line	:	897 W VALLEY BLVD
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-2009
Country	:	US
Telephone Number	:	909-254-2780
Fax Number	:	909-254-2777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/08/2007

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