MEDICARE: HAL R SPOONER 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	9824	TX
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1811922776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAL R SPOONER D.C.

Provider Business Mailing Address
First Line	:	13935 LAKE AVE
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-1426
Country	:	US
Telephone Number	:	214-235-3877
Fax Number	:

Provider Business Practice Location Address
First Line	:	13935 LAKE AVE
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-1426
Country	:	US
Telephone Number	:	214-235-3877
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	01/14/2025

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Directions to “ HAL R SPOONER D.C.” Practice Location

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