MEDICARE: DR. JAMES CHARLES FIRSTER JR. 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	1272	OH

General Provider Information

NPI Number	:	1801878061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CHARLES FIRSTER JR. D.C.

Provider Business Mailing Address
First Line	:	1166 LAFAYETTE RD
Second Line	:	E19
City	:	MEDINA
State	:	OH
Zip	:	44256-2481
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24051 COLUMBUS RD
Second Line	:
City	:	BEDFORD HTS
State	:	OH
Zip	:	44146-2973
Country	:	US
Telephone Number	:	330-416-6659
Fax Number	:

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	07/08/2007

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