MEDICARE: VENN ENTERPRISES. INC.

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	8749	TX

General Provider Information

NPI Number	:	1447471594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VENN ENTERPRISES. INC.

Provider Business Mailing Address
First Line	:	2840 LEGACY DR
Second Line	:	410
City	:	FRISCO
State	:	TX
Zip	:	75034-6049
Country	:	US
Telephone Number	:	972-668-9200
Fax Number	:	972-668-9204

Provider Business Practice Location Address
First Line	:	2840 LEGACY DR
Second Line	:	410
City	:	FRISCO
State	:	TX
Zip	:	75034-6049
Country	:	US
Telephone Number	:	972-668-9200
Fax Number	:	972-668-9204

Authorized Official
Title or Position	:	OWNER
Name	:	JASON T VENN
Credential	:
Telephone Number	:	972-668-9200

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	05/18/2010

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