MEDICARE: DR. FRED SILVERIA DC

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	12278	CA

General Provider Information

NPI Number	:	1346298312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRED SILVERIA DC

Provider Business Mailing Address
First Line	:	7601 SUNRISE BLVD
Second Line	:	STE.# 8
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-2343
Country	:	US
Telephone Number	:	916-721-5677
Fax Number	:	916-721-5676

Provider Business Practice Location Address
First Line	:	7601 SUNRISE BLVD
Second Line	:	STE.# 8
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-2343
Country	:	US
Telephone Number	:	916-721-5677
Fax Number	:	916-721-5676

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

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