MEDICARE: DR. JEFFREY B KAPLAN 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	14956	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ03357Z	OTHER		GROUP MEDICARE ID

General Provider Information

NPI Number	:	1326139957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY B KAPLAN D.C.

Provider Business Mailing Address
First Line	:	281 E HAMILTON AVE
Second Line	:	SUITE 1
City	:	CAMPBELL
State	:	CA
Zip	:	95008-0232
Country	:	US
Telephone Number	:	408-374-4220
Fax Number	:	408-378-0789

Provider Business Practice Location Address
First Line	:	281 E HAMILTON AVE
Second Line	:	SUITE 1
City	:	CAMPBELL
State	:	CA
Zip	:	95008-0232
Country	:	US
Telephone Number	:	408-374-4220
Fax Number	:	408-378-0789

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/08/2007

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