MEDICARE: DR. ARTHUR JAMES LABELLE 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	3643651202	UT
2	111NS0005X	Sports Physician Chiropractor	3643651202	UT

General Provider Information

NPI Number	:	1427257625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR JAMES LABELLE D.C.

Provider Business Mailing Address
First Line	:	3070 RASMUSSEN RD
Second Line	:	SUITE #110
City	:	PARK CITY
State	:	UT
Zip	:	84098-5486
Country	:	US
Telephone Number	:	435-649-1230
Fax Number	:	435-604-8991

Provider Business Practice Location Address
First Line	:	3070 RASMUSSEN RD
Second Line	:	SUITE #110
City	:	PARK CITY
State	:	UT
Zip	:	84098-5486
Country	:	US
Telephone Number	:	435-649-1230
Fax Number	:	435-604-8991

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

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	07/17/2007

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