MEDICARE: JAMES ADAM KLIAMOVICH II 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	DC006235L	PA
2	111NX0100X	Occupational Health Chiropractor	DC006235L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
16	350052217	OTHER	PA	RAILROAD MEDICARE NO.
17	350052217	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	339411	OTHER	PA	ADVANTRA FREEDOM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0814753000	OTHER	PA	INDEPENDENCE BLUE CROSS
4	1007640	OTHER	PA	ASHN
5	20039719	OTHER	PA	AMERIHEALTH MERCY
6	2983739	OTHER	PA	CIGNA HEALTHCARE
7	789959	OTHER	PA	HIGHMARK BC/BS
8	2194938	OTHER	PA	FIRST HEALTH
9	45223	OTHER	PA	GEISINGER HEALTH PLAN
10	118377	OTHER	PA	UNISON HEALTH PLAN
11	5622279	OTHER	PA	AETNA PPO ID
12	825782	OTHER	PA	FIRST PRIORITY HEALTH
13	611305800	OTHER	PA	US DEPT. OF LABOR
14	2298072	OTHER	PA	AETNA HMO ID
15	339411	OTHER	PA	HEALTH AMERICA
18	789959	OTHER	PA	FIRST PRIORITY LIFE INS

General Provider Information

NPI Number	:	1225034523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ADAM KLIAMOVICH II D.C.

Provider Business Mailing Address
First Line	:	PO BOX 334
Second Line	:
City	:	SWEET VALLEY
State	:	PA
Zip	:	18656-0334
Country	:	US
Telephone Number	:	570-477-2778
Fax Number	:	570-477-3572

Provider Business Practice Location Address
First Line	:	5321 MAIN ROAD
Second Line	:
City	:	SWEET VALLEY
State	:	PA
Zip	:	18656-0334
Country	:	US
Telephone Number	:	570-477-2778
Fax Number	:	570-477-3572

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	01/04/2011

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