MEDICARE: DR. JEFF LABINGER 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	14961	CA

General Provider Information

NPI Number	:	1508878596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFF LABINGER D.C.

Provider Business Mailing Address
First Line	:	6424 WATT AVE
Second Line	:
City	:	NORTH HIGHLANDS
State	:	CA
Zip	:	95660-3612
Country	:	US
Telephone Number	:	916-331-6983
Fax Number	:	916-331-6987

Provider Business Practice Location Address
First Line	:	6424 WATT AVE
Second Line	:
City	:	NORTH HIGHLANDS
State	:	CA
Zip	:	95660-3612
Country	:	US
Telephone Number	:	916-331-6983
Fax Number	:	916-331-6987

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	07/08/2007

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