MEDICARE: DR. JEFFREY J LEPOIDEVIN 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	38MC00546300	NJ

General Provider Information

NPI Number	:	1437201589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY J LEPOIDEVIN DC

Provider Business Mailing Address
First Line	:	4697 RT 9 NORTH
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3384
Country	:	US
Telephone Number	:	732-901-2928
Fax Number	:	732-901-3980

Provider Business Practice Location Address
First Line	:	4697 RT 9 NORTH
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3384
Country	:	US
Telephone Number	:	732-901-2928
Fax Number	:	732-901-3980

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/08/2007

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