MEDICARE: DR. JAMES MICHAEL GALVIN III 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	16160	AR

General Provider Information

NPI Number	:	1326584681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MICHAEL GALVIN III D.C.

Provider Business Mailing Address
First Line	:	114 W H AVE
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-8734
Country	:	US
Telephone Number	:	773-350-6136
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 E C AVE
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-8805
Country	:	US
Telephone Number	:	773-350-6136
Fax Number	:

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

Provider Enumeration Date	:	01/11/2017
Last Update Date	:	01/11/2017

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