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NPI Code Detail

MEDICARE: JAMES EWING DC PA

MEDICARE: JAMES EWING DC PA
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
1111N00000XChiropractorCH7967FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
153892OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1144313214
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES EWING DC PA
Provider Business Mailing Address
First Line : PO BOX 272177
Second Line :
City : BOCA RATON
State : FL
Zip : 33427-2177
Country : US
Telephone Number : 954-428-0225
Fax Number :
Provider Business Practice Location Address
First Line : 107 N POWERLINE RD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-8037
Country : US
Telephone Number : 954-428-0025
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAMES E EWING
Credential : DC
Telephone Number : 954-428-0225
Provider Enumeration Date : 10/02/2006
Last Update Date : 11/30/2009

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