Provider Demographics
NPI:1497887152
Name:PANAIA, JAMES E (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:PANAIA
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 1:242 W LANDIS AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-8109
Mailing Address - Country:US
Mailing Address - Phone:856-692-5900
Mailing Address - Fax:856-692-2848
Practice Address - Street 1:242 W LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8109
Practice Address - Country:US
Practice Address - Phone:856-692-5900
Practice Address - Fax:856-692-2848
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00496200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ60074164OtherHORIZON
NJ0138416000OtherAMERIHEALTH
NJH92950OtherAMERIHEALTH ADMINISTRATORS
NJ7344048OtherAETNA
NJ7344048OtherAETNA