MEDICARE: DR. MICHAEL T MCCARNEY 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	111NN0400X	Neurology Chiropractor		VA

General Provider Information

NPI Number	:	1932105533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL T MCCARNEY DC

Provider Business Mailing Address
First Line	:	280 STERLING CIR
Second Line	:
City	:	UNION HALL
State	:	VA
Zip	:	24176-4010
Country	:	US
Telephone Number	:	804-608-3040
Fax Number	:	804-598-9197

Provider Business Practice Location Address
First Line	:	6003 HARBOUR PARK DR
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23112-2160
Country	:	US
Telephone Number	:	804-745-7822
Fax Number	:	804-745-7804

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/09/2007

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