MEDICARE: MR. CHRIS E. ANDREWS 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	DC24500	CA

General Provider Information

NPI Number	:	1770661639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRIS E. ANDREWS D.C.

Provider Business Mailing Address
First Line	:	4140 MOTHER LODE DR
Second Line	:	SUITE 116
City	:	SHINGLE SPRINGS
State	:	CA
Zip	:	95682-8038
Country	:	US
Telephone Number	:	530-677-5640
Fax Number	:	530-677-6891

Provider Business Practice Location Address
First Line	:	4140 MOTHER LODE DR
Second Line	:	SUITE 116
City	:	SHINGLE SPRINGS
State	:	CA
Zip	:	95682-8038
Country	:	US
Telephone Number	:	530-677-5640
Fax Number	:	530-677-6891

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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