Provider Demographics
NPI:1154480440
Name:GALYEN, JAMES C
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:GALYEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S JACKSON PARK DR
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2626
Mailing Address - Country:US
Mailing Address - Phone:812-519-2963
Mailing Address - Fax:812-519-3515
Practice Address - Street 1:600 S JACKSON PARK DR
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2626
Practice Address - Country:US
Practice Address - Phone:812-519-2963
Practice Address - Fax:812-519-3515
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001579111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000652089OtherANTHEM-SEYMOUR
IN265740BOtherMEDICARE-SEYMOUR
IN200035110Medicaid
INN289823OtherHARMONY HEALTH
IN000000577041OtherANTHEM-GREENSBURG
IN219080HOtherMEDICARE--GREENSBURG
IN219080HOtherMEDICARE--GREENSBURG
IN265740BOtherMEDICARE-SEYMOUR