Provider Demographics
NPI:1063631752
Name:MAGERS, JAMES HENRY (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HENRY
Last Name:MAGERS
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 1:2600 N REYNOLDS RD
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615
Mailing Address - Country:US
Mailing Address - Phone:419-531-5366
Mailing Address - Fax:419-531-4090
Practice Address - Street 1:2600 N REYNOLDS RD
Practice Address - Street 2:SUITE 103A
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-2084
Practice Address - Country:US
Practice Address - Phone:419-531-5366
Practice Address - Fax:419-531-4090
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1059111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH34145152100OtherBWC
OH34145152100OtherBWC
OH0558711Medicare ID - Type Unspecified