Provider Demographics
NPI:1205377546
Name:JAMES, GUNNAR LYNN (DC)
Entity Type:Individual
Prefix:
First Name:GUNNAR
Middle Name:LYNN
Last Name:JAMES
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 1:2508 ERIN WAY
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-6044
Mailing Address - Country:US
Mailing Address - Phone:870-375-0405
Mailing Address - Fax:
Practice Address - Street 1:4709 W KINGSHIGHWAY
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-3490
Practice Address - Country:US
Practice Address - Phone:870-564-2232
Practice Address - Fax:870-215-0507
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor