Provider Demographics
NPI:1043300106
Name:BROWN, JAMES A (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:BROWN
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 1:7211 PLAZA CTR DR #120
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84084-4315
Mailing Address - Country:US
Mailing Address - Phone:801-280-4629
Mailing Address - Fax:801-280-8495
Practice Address - Street 1:7211 PLAZA CENTER DR
Practice Address - Street 2:#120
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84084-4315
Practice Address - Country:US
Practice Address - Phone:801-280-4629
Practice Address - Fax:801-280-8495
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT175690-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor