MEDICARE: DR. PAUL LOUIS SBARRA 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	DC007573L	PA

General Provider Information

NPI Number	:	1205901303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL LOUIS SBARRA D.C.

Provider Business Mailing Address
First Line	:	2224 S CLARION ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2918
Country	:	US
Telephone Number	:	267-237-0022
Fax Number	:

Provider Business Practice Location Address
First Line	:	1214 MOORE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-1516
Country	:	US
Telephone Number	:	215-271-0318
Fax Number	:	215-271-0319

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

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	07/09/2007

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