MEDICARE: JAMES JOSEPH MAGER 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	DC002183L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4274223	OTHER	PA	AETNA
2	407157	OTHER	PA	HIGHMARK
3	201218	OTHER	PA	UPMC

General Provider Information

NPI Number	:	1154369312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES JOSEPH MAGER D.C.

Provider Business Mailing Address
First Line	:	305 MOUNT LEBANON BLVD
Second Line	:	SUITE 200
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1511
Country	:	US
Telephone Number	:	412-341-3332
Fax Number	:	412-341-3370

Provider Business Practice Location Address
First Line	:	305 MOUNT LEBANON BLVD
Second Line	:	SUITE 200
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1511
Country	:	US
Telephone Number	:	412-341-3332
Fax Number	:	412-341-3370

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/08/2007

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