MEDICARE: CASAZZA CHIROPRACTIC INC.

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 28041	CA

General Provider Information

NPI Number	:	1609918721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASAZZA CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	2716 V ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-1901
Country	:	US
Telephone Number	:	916-447-2200
Fax Number	:	916-447-7930

Provider Business Practice Location Address
First Line	:	2716 V ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-1901
Country	:	US
Telephone Number	:	916-447-2200
Fax Number	:	916-447-7930

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LANCE AUGUST CASAZZA
Credential	:	D.C.
Telephone Number	:	916-447-2200

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	05/30/2008

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