MEDICARE: IN8 ENTERPRISES PLLC

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	CH9815	FL

General Provider Information

NPI Number	:	1710293626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN8 ENTERPRISES PLLC

Provider Business Mailing Address
First Line	:	5029 SESAME ST
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3520
Country	:	US
Telephone Number	:	561-602-2888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1470 ROYAL PALM BEACH BLVD
Second Line	:	STE. A
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1608
Country	:	US
Telephone Number	:	561-422-1819
Fax Number	:	561-422-1813

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JONN MCCLELLAN
Credential	:	D.C.
Telephone Number	:	561-602-2888

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	12/13/2010

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