MEDICARE: SWAIN FAMILY CHIROPRACTIC P.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	305R00000X	Preferred Provider Organization	2301009115	MI

General Provider Information

NPI Number	:	1487731006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWAIN FAMILY CHIROPRACTIC P.C.

Provider Business Mailing Address
First Line	:	6003 26 MILE RD
Second Line	:
City	:	WASHINGTON TOWNSHIP
State	:	MI
Zip	:	48094-2800
Country	:	US
Telephone Number	:	586-677-4400
Fax Number	:	586-677-4401

Provider Business Practice Location Address
First Line	:	6003 26 MILE RD
Second Line	:
City	:	WASHINGTON TOWNSHIP
State	:	MI
Zip	:	48094-2800
Country	:	US
Telephone Number	:	586-677-4400
Fax Number	:	586-677-4401

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RONALD W SWAIN II
Credential	:	D.C.
Telephone Number	:	586-677-4400

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	09/29/2007

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