Provider Demographics
NPI:1518901792
Name:HUMMEL, JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:HUMMEL
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 1:415 W STEIN HWY
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-1239
Mailing Address - Country:US
Mailing Address - Phone:302-628-8706
Mailing Address - Fax:302-628-8766
Practice Address - Street 1:415 W STEIN HWY
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-1239
Practice Address - Country:US
Practice Address - Phone:302-628-8706
Practice Address - Fax:302-628-8766
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEU70352OtherBCBS
DEU70352Medicare UPIN
DEU70352OtherBCBS