MEDICARE: REED P METCALF 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	17758	CA

General Provider Information

NPI Number	:	1538184874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REED P METCALF D.C.

Provider Business Mailing Address
First Line	:	8217 NEWBRIDGE WAY
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-0815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 HARDING BLVD
Second Line	:	SUITE J
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-2814
Country	:	US
Telephone Number	:	916-784-2727
Fax Number	:	916-784-3821

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	12/06/2011

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