Provider Demographics
NPI:1508948282
Name:PICKENS, L. JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:L.
Middle Name:JAMES
Last Name:PICKENS
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 1:410 WICKS LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-4434
Mailing Address - Country:US
Mailing Address - Phone:406-256-8215
Mailing Address - Fax:406-256-8216
Practice Address - Street 1:410 WICKS LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-4434
Practice Address - Country:US
Practice Address - Phone:406-256-8215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor