MEDICARE: DR. FOSTER CAMPBELL MCMANUS 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	111NN1001X	Nutrition Chiropractor	19398	CA
2	111N00000X	Chiropractor	19398	CA

General Provider Information

NPI Number	:	1679577134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FOSTER CAMPBELL MCMANUS DC

Provider Business Mailing Address
First Line	:	1670 SIERRA AVE
Second Line	:	SUITE 302
City	:	YUBA CITY
State	:	CA
Zip	:	95993
Country	:	US
Telephone Number	:	530-671-4976
Fax Number	:	530-671-4976

Provider Business Practice Location Address
First Line	:	1670 SIERRA AVE
Second Line	:	SUITE 302
City	:	YUBA CITY
State	:	CA
Zip	:	95993
Country	:	US
Telephone Number	:	530-671-4976
Fax Number	:

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	08/31/2011

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