Provider Demographics
NPI:1477621696
Name:SPIEGEL, JAMES RONALD (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RONALD
Last Name:SPIEGEL
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 1:121 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-3122
Mailing Address - Country:US
Mailing Address - Phone:863-385-7348
Mailing Address - Fax:863-385-7664
Practice Address - Street 1:121 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-3122
Practice Address - Country:US
Practice Address - Phone:863-385-7348
Practice Address - Fax:863-385-7664
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002636111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT56414OtherINSURANCE I.D. NUMBER
FLT56414OtherINSURANCE I.D. NUMBER