Provider Demographics
NPI:1558309815
Name:ALEXANDER, JAMES TRUMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TRUMAN
Last Name:ALEXANDER
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 1:2655 88TH CT W
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-4769
Mailing Address - Country:US
Mailing Address - Phone:952-457-5236
Mailing Address - Fax:
Practice Address - Street 1:4401 EGAN DR # 100
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-2024
Practice Address - Country:US
Practice Address - Phone:952-746-4162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN842680500Medicaid
37M48ALOtherBCBS ID NUMBER
MN350004144Medicare PIN