MEDICARE: DR. LEWIS S PASSMAN 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	0002883	FL

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	:	1992786131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEWIS S PASSMAN D.C.

Provider Business Mailing Address
First Line	:	5066 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8129
Country	:	US
Telephone Number	:	561-498-2233
Fax Number	:	561-498-5074

Provider Business Practice Location Address
First Line	:	5066 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8129
Country	:	US
Telephone Number	:	561-498-2233
Fax Number	:	561-498-5074

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

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	07/26/2010

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