Provider Demographics
NPI:1568543460
Name:LITAKER, JAMES FLOYD (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FLOYD
Last Name:LITAKER
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 1:4949 PROFESSIONAL PARK DR
Mailing Address - Street 2:STE 206
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-8638
Mailing Address - Country:US
Mailing Address - Phone:704-467-4808
Mailing Address - Fax:
Practice Address - Street 1:5403 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-5334
Practice Address - Country:US
Practice Address - Phone:704-467-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2017-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1031111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCT 64318Medicare UPIN