MEDICARE: DR. JOHN SPANGLER 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	B01602	NV

General Provider Information

NPI Number	:	1497166813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN SPANGLER D.C.

Provider Business Mailing Address
First Line	:	1107 CALAVERAS DR
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-3637
Country	:	US
Telephone Number	:	814-319-3571
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E WASHINGTON ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-4064
Country	:	US
Telephone Number	:	814-319-3571
Fax Number	:

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

Provider Enumeration Date	:	05/20/2014
Last Update Date	:	02/14/2017

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