Provider Demographics
NPI:1508974049
Name:CHICOINE, JAMES ALBERT (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALBERT
Last Name:CHICOINE
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 1:719 W WILLIAM CANNON DR STE 108
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-3981
Mailing Address - Country:US
Mailing Address - Phone:512-443-9396
Mailing Address - Fax:512-443-9077
Practice Address - Street 1:719 W WILLIAM CANNON DR STE 108
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3981
Practice Address - Country:US
Practice Address - Phone:512-443-9396
Practice Address - Fax:512-443-9077
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor