MEDICARE: DR. JAMES FOY JR. 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	111N00000X	Chiropractor	1430	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720280332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES FOY JR. DC

Provider Business Mailing Address
First Line	:	4031 ST CLAIR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1117
Country	:	US
Telephone Number	:	216-361-9840
Fax Number	:	216-361-9841

Provider Business Practice Location Address
First Line	:	4031 ST CLAIR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1117
Country	:	US
Telephone Number	:	216-361-9840
Fax Number	:	216-361-9841

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

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	07/08/2007

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