MEDICARE: GARVEY-ANDERSON FAMILY CHIROPRACTIC CENTER OF MERCED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111NN1001X	Nutrition Chiropractor
2	111NP0017X	Pediatric Chiropractor
3	111NR0400X	Rehabilitation Chiropractor
4	111NS0005X	Sports Physician Chiropractor
5	111NX0100X	Occupational Health Chiropractor
6	111NX0800X	Orthopedic Chiropractor
7	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1982172482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARVEY-ANDERSON FAMILY CHIROPRACTIC CENTER OF MERCED

Provider Business Mailing Address
First Line	:	840 W OLIVE AVE STE A
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-2421
Country	:	US
Telephone Number	:	209-726-3000
Fax Number	:	209-726-3001

Provider Business Practice Location Address
First Line	:	840 W OLIVE AVE STE A
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-2421
Country	:	US
Telephone Number	:	209-726-3000
Fax Number	:	209-726-3001

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	DR. JEREME ANDERSON
Credential	:	DC
Telephone Number	:	408-428-2478

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	02/22/2019

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Directions to “GARVEY-ANDERSON FAMILY CHIROPRACTIC CENTER OF MERCED ” Practice Location

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