MEDICARE: DR. JON N CHAMBERS 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	3937	OR

General Provider Information

NPI Number	:	1447573357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JON N CHAMBERS D.C.

Provider Business Mailing Address
First Line	:	1246 ANGLER LN
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97527-6414
Country	:	US
Telephone Number	:	541-281-0229
Fax Number	:	541-471-0400

Provider Business Practice Location Address
First Line	:	1035 NE 6TH ST
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-1298
Country	:	US
Telephone Number	:	541-479-1289
Fax Number	:	541-471-0400

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

Provider Enumeration Date	:	03/05/2010
Last Update Date	:	03/05/2010

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