Provider Demographics
NPI:1568525384
Name:BROWN, JAMES M (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:2417 JORDAN LN NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-1009
Mailing Address - Country:US
Mailing Address - Phone:256-721-9696
Mailing Address - Fax:256-837-1206
Practice Address - Street 1:2417 JORDAN LN NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1009
Practice Address - Country:US
Practice Address - Phone:256-721-9696
Practice Address - Fax:256-837-1206
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU68710Medicare UPIN