MEDICARE: DR. ERIN STEFFANY CLATWORTHY 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 9626	FL

General Provider Information

NPI Number	:	1407011489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN STEFFANY CLATWORTHY D.C.

Provider Business Mailing Address
First Line	:	12250 TAMIAMI TRL E
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34113-8108
Country	:	US
Telephone Number	:	239-774-4041
Fax Number	:	239-774-5273

Provider Business Practice Location Address
First Line	:	12250 TAMIAMI TRL E
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34113-8108
Country	:	US
Telephone Number	:	239-774-4041
Fax Number	:	239-774-5273

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

Provider Enumeration Date	:	07/18/2008
Last Update Date	:	12/11/2013

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