Provider Demographics
NPI:1164430336
Name:RHODES, JAMES PLESANT II (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PLESANT
Last Name:RHODES
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 1:502 E MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:OK
Mailing Address - Zip Code:73030-1775
Mailing Address - Country:US
Mailing Address - Phone:580-369-3600
Mailing Address - Fax:580-369-3728
Practice Address - Street 1:502 E. MAIN ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:OK
Practice Address - Zip Code:73030-1775
Practice Address - Country:US
Practice Address - Phone:580-369-3600
Practice Address - Fax:580-369-3728
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200024990AMedicaid
OK0005443695OtherAETNA
OK73157943900OtherHEALTH CHOICE
OK200024990AMedicaid