Provider Demographics
NPI:1114013968
Name:ATKINSON, JAMES D (DC,)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:ATKINSON
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 1:8129 N 35TH AVE
Mailing Address - Street 2:#3
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-5892
Mailing Address - Country:US
Mailing Address - Phone:602-242-0000
Mailing Address - Fax:602-995-4444
Practice Address - Street 1:8129 N 35TH AVE
Practice Address - Street 2:#3
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-5892
Practice Address - Country:US
Practice Address - Phone:602-242-0000
Practice Address - Fax:602-995-4444
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3614225100000X
AZ6018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU81942Medicare UPIN
AZZ77723Medicare PIN