MEDICARE: DR. SEAN THOMAS NORKUS 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	CH 10545	FL

General Provider Information

NPI Number	:	1255604666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN THOMAS NORKUS D.C.

Provider Business Mailing Address
First Line	:	3469 W BOYNTON BEACH BLVD
Second Line	:	SUITE 10
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4611
Country	:	US
Telephone Number	:	561-317-3516
Fax Number	:	561-585-2115

Provider Business Practice Location Address
First Line	:	3469 W BOYNTON BEACH BLVD
Second Line	:	SUITE 10
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4611
Country	:	US
Telephone Number	:	561-317-3516
Fax Number	:	561-585-2115

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

Provider Enumeration Date	:	02/15/2012
Last Update Date	:	03/23/2012

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