MEDICARE: DR. BRIAN A KLAPPHOLZ 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	1283	NJ

General Provider Information

NPI Number	:	1184608432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN A KLAPPHOLZ DC

Provider Business Mailing Address
First Line	:	1420 HOOPER AVE
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2825
Country	:	US
Telephone Number	:	732-341-0660
Fax Number	:	732-341-5675

Provider Business Practice Location Address
First Line	:	1420 HOOPER AVE
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2825
Country	:	US
Telephone Number	:	732-341-0660
Fax Number	:	732-341-5675

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	07/08/2007

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