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NPI Code Detail

MEDICARE: ADAM JULIAN RENSHAW DC

MEDICARE: ADAM JULIAN RENSHAW 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
1111N00000XChiropractorDC011653PA

General Provider Information

NPI Number : 1578138400
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM JULIAN RENSHAW DC
Provider Business Mailing Address
First Line : 1009 E 38TH ST
Second Line :
City : ERIE
State : PA
Zip : 16504-1843
Country : US
Telephone Number : 814-824-6442
Fax Number :
Provider Business Practice Location Address
First Line : 1009 E 38TH ST
Second Line :
City : ERIE
State : PA
Zip : 16504-1843
Country : US
Telephone Number : 814-824-6442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2021
Last Update Date : 05/24/2021

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Directions to “ ADAM JULIAN RENSHAW DC” Practice Location

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