MEDICARE: DR. JAMES MONROE COX II D.C.,L.AC.

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	08001677A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	84771	OTHER	IN	ANTHEM PROVIDER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487659389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MONROE COX II D.C.,L.AC.

Provider Business Mailing Address
First Line	:	3125 HOBSON ROAD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46805
Country	:	US
Telephone Number	:	260-484-1964
Fax Number	:

Provider Business Practice Location Address
First Line	:	3125 HOBSON RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-1611
Country	:	US
Telephone Number	:	260-484-1964
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/08/2007

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