MEDICARE: DR. DAVID J VASCURA 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	2835	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	311174655-01	OTHER	OH	W/C
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437300316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J VASCURA D.C.

Provider Business Mailing Address
First Line	:	2110 MAPLE AVE
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2025
Country	:	US
Telephone Number	:	740-455-5555
Fax Number	:	740-455-4648

Provider Business Practice Location Address
First Line	:	2110 MAPLE AVE
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2025
Country	:	US
Telephone Number	:	740-455-5555
Fax Number	:	740-455-4648

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

Provider Enumeration Date	:	10/09/2008
Last Update Date	:	04/01/2020

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