MEDICARE: CRAIG S SELINGER DC

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	CH7268	FL

General Provider Information

NPI Number	:	1316927742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG S SELINGER DC

Provider Business Mailing Address
First Line	:	7749 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2536
Country	:	US
Telephone Number	:	561-434-9949
Fax Number	:	561-434-9954

Provider Business Practice Location Address
First Line	:	7749 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2536
Country	:	US
Telephone Number	:	561-434-9949
Fax Number	:	561-434-9954

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	11/14/2007

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