Provider Demographics
NPI:1467893594
Name:JAMES T. SHENEMAN, D.C., PLLC
Entity Type:Organization
Organization Name:JAMES T. SHENEMAN, D.C., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SHENEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-456-4033
Mailing Address - Street 1:136 E MICHIGAN AVE
Mailing Address - Street 2:PO BOX 557
Mailing Address - City:CLINTON
Mailing Address - State:MI
Mailing Address - Zip Code:49236-9811
Mailing Address - Country:US
Mailing Address - Phone:517-456-4033
Mailing Address - Fax:517-456-8283
Practice Address - Street 1:136 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MI
Practice Address - Zip Code:49236-9811
Practice Address - Country:US
Practice Address - Phone:517-456-4033
Practice Address - Fax:517-456-8283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M53230Medicare PIN