MEDICARE: DR. ANDREW FRANCIS DRAGUN 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	2142	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	102I350492	OTHER	AL	MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)

General Provider Information

NPI Number	:	1508830381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW FRANCIS DRAGUN D.C.

Provider Business Mailing Address
First Line	:	8949 ROEBUCK BLVD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35206-1525
Country	:	US
Telephone Number	:	205-413-2997
Fax Number	:

Provider Business Practice Location Address
First Line	:	8949 ROEBUCK BLVD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35206-1525
Country	:	US
Telephone Number	:	205-413-2997
Fax Number	:

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	10/17/2011

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