Provider Demographics
NPI:1235251752
Name:JAMES J FLOOD DC PC
Entity Type:Organization
Organization Name:JAMES J FLOOD DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-231-6550
Mailing Address - Street 1:11214 OLD GEORGETOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-231-6550
Mailing Address - Fax:301-984-7823
Practice Address - Street 1:11214 OLD GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3202
Practice Address - Country:US
Practice Address - Phone:301-231-6550
Practice Address - Fax:301-984-7823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-05-29
Deactivation Date:2007-07-18
Deactivation Code:
Reactivation Date:2008-05-29
Provider Licenses
StateLicense IDTaxonomies
MDS01201MD111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty