Provider Demographics
NPI:1619165032
Name:JAMES W. MCCANN, D.C., P.C
Entity Type:Organization
Organization Name:JAMES W. MCCANN, D.C., P.C
Other - Org Name:DBA ATLAS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCCANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:413-538-8808
Mailing Address - Street 1:PO BOX 584
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01041-0584
Mailing Address - Country:US
Mailing Address - Phone:413-538-8808
Mailing Address - Fax:413-538-8809
Practice Address - Street 1:1353 DWIGHT ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2304
Practice Address - Country:US
Practice Address - Phone:413-538-8808
Practice Address - Fax:413-538-8809
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES W. MCCANN, D.C. P.C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU56294Medicare UPIN