MEDICARE: DR. JOEL HOROWITZ 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	111NX0100X	Occupational Health Chiropractor	18823	CA

General Provider Information

NPI Number	:	1700885126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL HOROWITZ D.C.

Provider Business Mailing Address
First Line	:	1061 SAN PABLO AVE
Second Line	:	SUITE A
City	:	PINOLE
State	:	CA
Zip	:	94564-2343
Country	:	US
Telephone Number	:	510-724-9760
Fax Number	:	510-724-6983

Provider Business Practice Location Address
First Line	:	1061 SAN PABLO AVE
Second Line	:	SUITE A
City	:	PINOLE
State	:	CA
Zip	:	94564-2343
Country	:	US
Telephone Number	:	510-724-9760
Fax Number	:	510-724-6983

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/09/2007

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