MEDICARE: DR. MARCUS PAULSON 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	1759	NE

General Provider Information

NPI Number	:	1326388851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCUS PAULSON D.C.

Provider Business Mailing Address
First Line	:	1333 IOWA ST
Second Line	:
City	:	FREMONT
State	:	NE
Zip	:	68025-2032
Country	:	US
Telephone Number	:	402-727-1248
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 E 7TH ST
Second Line	:
City	:	YORK
State	:	NE
Zip	:	68467-3023
Country	:	US
Telephone Number	:	402-719-1287
Fax Number	:

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

Provider Enumeration Date	:	02/20/2013
Last Update Date	:	05/08/2013

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