Provider Demographics
NPI:1225087711
Name:GALEAS, JAMES P (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:GALEAS
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 1:94 SOUTHWORTH ST
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-2725
Mailing Address - Country:US
Mailing Address - Phone:413-241-4243
Mailing Address - Fax:
Practice Address - Street 1:939 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-2110
Practice Address - Country:US
Practice Address - Phone:413-241-4243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2821111NR0200X
NY8662X111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3976967OtherAETNA
MAY37083OtherBLUECROSS BLUESHIELD
MAY37083OtherBLUECROSS BLUESHIELD
MAV04974Medicare UPIN