MEDICARE: DR. AVRAM A ESKIN DC

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	2703	CO

General Provider Information

NPI Number	:	1548388259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AVRAM A ESKIN DC

Provider Business Mailing Address
First Line	:	4027 MESA VERDE ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-9066
Country	:	US
Telephone Number	:	970-229-0490
Fax Number	:	970-229-0490

Provider Business Practice Location Address
First Line	:	4027 MESA VERDE ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-9066
Country	:	US
Telephone Number	:	970-229-0490
Fax Number	:	970-229-0490

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/08/2007

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