MEDICARE: DR. BENJAMIN CARL WARD II 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	2923	SC
2	111N00000X	Chiropractor	3357	NC
3	111N00000X	Chiropractor	9774	FL

General Provider Information

NPI Number	:	1538340989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN CARL WARD II D.C.

Provider Business Mailing Address
First Line	:	5036 TROUBLE CREEK RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4904
Country	:	US
Telephone Number	:	813-340-0243
Fax Number	:

Provider Business Practice Location Address
First Line	:	5036 TROUBLE CREEK RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4904
Country	:	US
Telephone Number	:	813-340-0243
Fax Number	:

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

Provider Enumeration Date	:	11/14/2007
Last Update Date	:	01/25/2012

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