Provider Demographics
NPI:1437590643
Name:JAMES ANDERSON BROWN DC PC
Entity Type:Organization
Organization Name:JAMES ANDERSON BROWN DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:660-438-9444
Mailing Address - Street 1:1894 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:MO
Mailing Address - Zip Code:65355-3364
Mailing Address - Country:US
Mailing Address - Phone:660-438-9444
Mailing Address - Fax:660-438-9644
Practice Address - Street 1:1894 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:MO
Practice Address - Zip Code:65355-3364
Practice Address - Country:US
Practice Address - Phone:660-438-9444
Practice Address - Fax:660-438-9644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO003733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0006031BOtherMEDICARE PTAN