MEDICARE: DR. JAMES SCOTT LEVAN 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	1167	MD

General Provider Information

NPI Number	:	1578638698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES SCOTT LEVAN DC

Provider Business Mailing Address
First Line	:	10945 BUCKNELL DRIVE
Second Line	:
City	:	WHEATON
State	:	MD
Zip	:	20902-4365
Country	:	US
Telephone Number	:	301-649-6347
Fax Number	:

Provider Business Practice Location Address
First Line	:	8555 16TH ST
Second Line	:	SUITE 405
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2816
Country	:	US
Telephone Number	:	301-585-5350
Fax Number	:	301-585-5369

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

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	07/08/2007

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