Provider Demographics
NPI:1114047719
Name:MCFADDEN, JAMES OLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:OLEN
Last Name:MCFADDEN
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 1:515 LOCUST PL
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1537
Mailing Address - Country:US
Mailing Address - Phone:412-749-0323
Mailing Address - Fax:412-324-1024
Practice Address - Street 1:515 LOCUST PL
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1537
Practice Address - Country:US
Practice Address - Phone:412-749-0323
Practice Address - Fax:412-324-1024
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006257L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor