Provider Demographics
NPI:1245558550
Name:NEIL, JAMES R (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:NEIL
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 1:1557 AIRPORT RD
Mailing Address - Street 2:STE A1
Mailing Address - City:HOT SPRINGS NATIONAL PARK
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7963
Mailing Address - Country:US
Mailing Address - Phone:360-991-6179
Mailing Address - Fax:
Practice Address - Street 1:1557 AIRPORT RD
Practice Address - Street 2:STE A1
Practice Address - City:HOT SPRINGS NATIONAL PARK
Practice Address - State:AR
Practice Address - Zip Code:71913-7963
Practice Address - Country:US
Practice Address - Phone:360-991-6179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60540141111N00000X
AZ8123111N00000X
AR16288111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR339924OtherOREGON LNI
AR16288OtherASBCE
WAG8937964OtherMEDICARE PTAN