MEDICARE: JESS J STEARN 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	CH0002460	FL

General Provider Information

NPI Number	:	1407992290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESS J STEARN DC

Provider Business Mailing Address
First Line	:	6800 W COMMERCIAL BLVD
Second Line	:	SUITE 4
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2149
Country	:	US
Telephone Number	:	954-749-7440
Fax Number	:	954-749-5765

Provider Business Practice Location Address
First Line	:	6800 W COMMERCIAL BLVD
Second Line	:	SUITE 4
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2149
Country	:	US
Telephone Number	:	954-749-7440
Fax Number	:	954-749-5765

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	04/29/2008

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Directions to “ JESS J STEARN DC” Practice Location

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