Provider Demographics
NPI:1467448506
Name:ASPINWALL, JAMES R (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:ASPINWALL
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 1:302 S GREENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-3122
Mailing Address - Country:US
Mailing Address - Phone:706-884-8360
Mailing Address - Fax:706-884-0265
Practice Address - Street 1:302 S GREENWOOD ST
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-3122
Practice Address - Country:US
Practice Address - Phone:706-884-8360
Practice Address - Fax:706-884-0265
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO2007111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCDXNMedicare ID - Type UnspecifiedMEDICARE NUMBER
GAU17366Medicare UPIN