MEDICARE: CHRISTOPHER M VARNUM DC

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	CH8389	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760459200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER M VARNUM DC

Provider Business Mailing Address
First Line	:	958 VILLAGE TRL
Second Line	:	APT 509
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-7965
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4705 S CLYDE MORRIS BLVD
Second Line	:	PALMER CHIROPRACTIC CLINIC
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-4103
Country	:	US
Telephone Number	:	386-763-2712
Fax Number	:	386-763-2726

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	05/30/2008

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Directions to “ CHRISTOPHER M VARNUM DC” Practice Location

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