Provider Demographics
NPI:1033172309
Name:NORD, JAMES KENT (DC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KENT
Last Name:NORD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 NURSERY HILL COURT
Mailing Address - Street 2:
Mailing Address - City:ARDEN HILLS
Mailing Address - State:MN
Mailing Address - Zip Code:55112
Mailing Address - Country:US
Mailing Address - Phone:651-398-6187
Mailing Address - Fax:
Practice Address - Street 1:16334 COUNTY RD 30
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311
Practice Address - Country:US
Practice Address - Phone:763-416-1799
Practice Address - Fax:763-416-1949
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4121111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350002435Medicare ID - Type Unspecified