MEDICARE: JAMES A BROWN 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	175690-1202	UT

General Provider Information

NPI Number	:	1043300106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES A BROWN D.C.

Provider Business Mailing Address
First Line	:	7211 PLAZA CTR DR #120
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84084-4315
Country	:	US
Telephone Number	:	801-280-4629
Fax Number	:	801-280-8495

Provider Business Practice Location Address
First Line	:	7211 PLAZA CENTER DR
Second Line	:	#120
City	:	WEST JORDAN
State	:	UT
Zip	:	84084-4315
Country	:	US
Telephone Number	:	801-280-4629
Fax Number	:	801-280-8495

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	01/29/2008

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