Provider Demographics
NPI:1235469859
Name:EMMS, JAMES E (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:EMMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JED
Other - Middle Name:
Other - Last Name:EMMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:6771 CASCADE RD SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-6849
Mailing Address - Country:US
Mailing Address - Phone:616-975-1100
Mailing Address - Fax:
Practice Address - Street 1:6771 CASCADE RD SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-6849
Practice Address - Country:US
Practice Address - Phone:616-975-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor