MEDICARE: DR. JEFFREY ALAN DAVIS 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	2031	OH

General Provider Information

NPI Number	:	1447257217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY ALAN DAVIS D.C.

Provider Business Mailing Address
First Line	:	3615 TALMADGE RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-1049
Country	:	US
Telephone Number	:	419-536-5446
Fax Number	:	419-531-9983

Provider Business Practice Location Address
First Line	:	1916 N REYNOLDS RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-3510
Country	:	US
Telephone Number	:	419-536-5446
Fax Number	:	419-531-9983

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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