MEDICARE: JOHN F. DALCIN 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	16326	CA

General Provider Information

NPI Number	:	1548304728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN F. DALCIN D.C.

Provider Business Mailing Address
First Line	:	2005 W ALAMEDA AVE
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-2932
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2005 W ALAMEDA AVE
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-2932
Country	:	US
Telephone Number	:	818-567-0335
Fax Number	:	818-567-0394

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	07/08/2007

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