MEDICARE: DR. JAMES W YENZER JR. 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	CH0005934	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	608821200	OTHER	FL	DEPARTMENT OF LABOR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255476024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES W YENZER JR. D.C.

Provider Business Mailing Address
First Line	:	610 N NAVY BLVD
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32507-1208
Country	:	US
Telephone Number	:	850-457-7999
Fax Number	:	850-457-7917

Provider Business Practice Location Address
First Line	:	610 N NAVY BLVD
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32507-1242
Country	:	US
Telephone Number	:	850-457-7999
Fax Number	:

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	03/16/2010

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