Provider Demographics
NPI:1114075264
Name:DUNCAN, JAMES G II (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:DUNCAN
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 1:901 TAYLOR ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-2301
Mailing Address - Country:US
Mailing Address - Phone:734-475-2932
Mailing Address - Fax:734-475-1885
Practice Address - Street 1:901 TAYLOR ST
Practice Address - Street 2:SUITE C
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-2301
Practice Address - Country:US
Practice Address - Phone:734-475-2932
Practice Address - Fax:734-475-1885
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJD006131111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N21110Medicare ID - Type Unspecified
MIU40986Medicare UPIN