MEDICARE: WE ARE ONE CHIROPRACTIC, P.L.

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	CH 10824	FL

General Provider Information

NPI Number	:	1598008864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE ARE ONE CHIROPRACTIC, P.L.

Provider Business Mailing Address
First Line	:	801 CROSSWIND WAY
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-6059
Country	:	US
Telephone Number	:	386-235-5061
Fax Number	:	530-325-5061

Provider Business Practice Location Address
First Line	:	2741 S RIDGEWOOD AVE
Second Line	:
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-3539
Country	:	US
Telephone Number	:	386-235-5061
Fax Number	:	530-325-5061

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES CLAPPROOD
Credential	:	D.C.
Telephone Number	:	386-235-5061

Provider Enumeration Date	:	04/04/2013
Last Update Date	:	04/04/2013

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