MEDICARE: DR. EDWARD M ERRIS 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	DC002057-L	PA

General Provider Information

NPI Number	:	1255335790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD M ERRIS D.C.

Provider Business Mailing Address
First Line	:	3 JAMES WAY
Second Line	:
City	:	ARCHBALD
State	:	PA
Zip	:	18403-1547
Country	:	US
Telephone Number	:	570-876-5558
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 JAMES WAY
Second Line	:
City	:	ARCHBALD
State	:	PA
Zip	:	18403-1547
Country	:	US
Telephone Number	:	570-876-5558
Fax Number	:

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	01/19/2008

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Directions to “ DR. EDWARD M ERRIS D.C.” Practice Location

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