Provider Demographics
NPI:1477599066
Name:JAMES, AMBER JO (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:JO
Last Name:JAMES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4847 E PLAZA EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-2811
Mailing Address - Country:US
Mailing Address - Phone:812-477-4444
Mailing Address - Fax:
Practice Address - Street 1:4847 E PLAZA EAST BLVD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-2811
Practice Address - Country:US
Practice Address - Phone:812-477-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002070A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000291239OtherANTHEM
IN200423440AMedicaid
IN206140Medicare PIN
INU94516Medicare UPIN