MEDICARE: DR. JOHN MONBARREN 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	3197	NC

General Provider Information

NPI Number	:	1679576490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN MONBARREN D.C.

Provider Business Mailing Address
First Line	:	616 INDIAN TRAIL RD S
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-9680
Country	:	US
Telephone Number	:	704-821-5000
Fax Number	:	855-884-7853

Provider Business Practice Location Address
First Line	:	616 INDIAN TRAIL RD S
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-9680
Country	:	US
Telephone Number	:	704-821-6000
Fax Number	:	855-884-7853

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	12/14/2012

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Directions to “ DR. JOHN MONBARREN D.C.” Practice Location

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