Provider Demographics
NPI:1093830069
Name:DOLAN, JAMES LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LAWRENCE
Last Name:DOLAN
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 1:300 CHESTNUT ST
Mailing Address - Street 2:STE. 1000
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2425
Mailing Address - Country:US
Mailing Address - Phone:781-449-7888
Mailing Address - Fax:781-449-7693
Practice Address - Street 1:300 CHESTNUT ST
Practice Address - Street 2:STE. 1000
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2425
Practice Address - Country:US
Practice Address - Phone:781-449-7888
Practice Address - Fax:781-449-7693
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA633111N00000X
CA14006111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35440OtherBCBS
MAY35440OtherBCBS