Provider Demographics
NPI:1528179710
Name:JAMES, WAYDE W (DC)
Entity Type:Individual
Prefix:
First Name:WAYDE
Middle Name:W
Last Name:JAMES
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 1:10311 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CA
Mailing Address - Zip Code:95693-8543
Mailing Address - Country:US
Mailing Address - Phone:916-686-6221
Mailing Address - Fax:916-686-2301
Practice Address - Street 1:8569 BOND RD STE 140
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-9522
Practice Address - Country:US
Practice Address - Phone:916-686-6221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor