MEDICARE: DOMINIC CAIN 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	9192	AZ

General Provider Information

NPI Number	:	1811624299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOMINIC CAIN DC

Provider Business Mailing Address
First Line	:	15 MYRTLEWOOD LN
Second Line	:
City	:	WILLINGBORO
State	:	NJ
Zip	:	08046-2938
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2563 W MEMORIAL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-8030
Country	:	US
Telephone Number	:	405-832-5259
Fax Number	:

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

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	08/04/2022

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Directions to “ DOMINIC CAIN DC” Practice Location

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