Provider Demographics
NPI:1083775712
Name:DEVOE, JAMES FORREST II (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:FORREST
Last Name:DEVOE
Suffix:II
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:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:VONORE
Mailing Address - State:TN
Mailing Address - Zip Code:37885-0186
Mailing Address - Country:US
Mailing Address - Phone:423-884-6611
Mailing Address - Fax:423-884-6611
Practice Address - Street 1:1351 HIGHWAY 411
Practice Address - Street 2:
Practice Address - City:VONORE
Practice Address - State:TN
Practice Address - Zip Code:37885-2430
Practice Address - Country:US
Practice Address - Phone:423-884-6611
Practice Address - Fax:423-884-6611
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1502111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN12143OtherCARITEN PROVIDER
TN1764614OtherCIGNA PROVIDER
TN3114108OtherBLUE CROSS PROVIDER
TN3114108OtherBLUE CROSS PROVIDER
TN3970175Medicare ID - Type UnspecifiedMEDICARE PROVIDER