MEDICARE: FRANCIS J MCNEARY 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	001565	CT

General Provider Information

NPI Number	:	1295869469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS J MCNEARY D.C.

Provider Business Mailing Address
First Line	:	89 CHESTNUT ST # D
Second Line	:
City	:	BETHEL
State	:	CT
Zip	:	06801-2639
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 OLD TOWN PARK RD
Second Line	:	SOUTH END PLAZA, UNIT 70
City	:	NEW MILFORD
State	:	CT
Zip	:	06776-4212
Country	:	US
Telephone Number	:	860-210-0288
Fax Number	:	860-210-0272

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

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	07/08/2007

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