MEDICARE: EILEEN ANNE DRISCOLL-NORMAN 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	19103	CA

General Provider Information

NPI Number	:	1811901549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EILEEN ANNE DRISCOLL-NORMAN D.C.

Provider Business Mailing Address
First Line	:	PO BOX 2359
Second Line	:
City	:	KINGS BEACH
State	:	CA
Zip	:	96143-2359
Country	:	US
Telephone Number	:	530-546-5190
Fax Number	:	530-546-5195

Provider Business Practice Location Address
First Line	:	8700 NORTH LAKE BLVD
Second Line	:	SUITE #3
City	:	KINGS BEACH
State	:	CA
Zip	:	96143
Country	:	US
Telephone Number	:	530-546-5190
Fax Number	:	530-546-5195

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	07/21/2009

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Directions to “ EILEEN ANNE DRISCOLL-NORMAN D.C.” Practice Location

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