MEDICARE: DR. JAMES F PROETZ 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	15018	CA

General Provider Information

NPI Number	:	1518073766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES F PROETZ D.C.

Provider Business Mailing Address
First Line	:	834 E 4TH ST
Second Line	:	SUITE D
City	:	LONG BEACH
State	:	CA
Zip	:	90802-7208
Country	:	US
Telephone Number	:	562-590-9932
Fax Number	:	562-590-9932

Provider Business Practice Location Address
First Line	:	834 E 4TH ST
Second Line	:	SUITE D
City	:	LONG BEACH
State	:	CA
Zip	:	90802-7212
Country	:	US
Telephone Number	:	562-590-9932
Fax Number	:	562-590-9932

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	07/08/2007

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