MEDICARE: DR. STEVEN JAMES SWINDLE 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	2301008574	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336238377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN JAMES SWINDLE DC

Provider Business Mailing Address
First Line	:	5795 BALSAM DR.
Second Line	:
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-1428
Country	:	US
Telephone Number	:	616-662-1191
Fax Number	:	616-662-1510

Provider Business Practice Location Address
First Line	:	5795 BALSAM DR.
Second Line	:
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-1428
Country	:	US
Telephone Number	:	616-662-1191
Fax Number	:	616-662-1510

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	09/24/2010

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Directions to “ DR. STEVEN JAMES SWINDLE DC” Practice Location

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