MEDICARE: DR. WILLIAM STEPHEN CHROMEY 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	DC-007329-L	PA
2	111NS0005X	Sports Physician Chiropractor	CH11466	FL

General Provider Information

NPI Number	:	1609828607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM STEPHEN CHROMEY D.C.

Provider Business Mailing Address
First Line	:	1416 MARSH MEADOW LN
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33896-6707
Country	:	US
Telephone Number	:	407-885-0317
Fax Number	:	407-386-3282

Provider Business Practice Location Address
First Line	:	1416 MARSH MEADOW LN
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33896
Country	:	US
Telephone Number	:	407-885-0317
Fax Number	:	407-386-3282

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	10/28/2019

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