Provider Demographics
NPI:1407803505
Name:APPLEGATE, JAMES E (DC12)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:APPLEGATE
Suffix:
Gender:M
Credentials:DC12
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1322
Mailing Address - Country:US
Mailing Address - Phone:215-638-4591
Mailing Address - Fax:215-638-4866
Practice Address - Street 1:2645 WINDSOR DR
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1322
Practice Address - Country:US
Practice Address - Phone:215-638-4591
Practice Address - Fax:215-638-4866
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003454L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor