Provider Demographics
NPI:1629040399
Name:MUSICK, JAMES EDWIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWIN
Last Name:MUSICK
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 1:854 NORTH HILLVIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5297
Mailing Address - Country:US
Mailing Address - Phone:408-262-4600
Mailing Address - Fax:408-262-4355
Practice Address - Street 1:854 NORTH HILLVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5297
Practice Address - Country:US
Practice Address - Phone:408-262-4600
Practice Address - Fax:408-262-4355
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11344111NI0013X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA11344OtherSTATE LICENSE NUMBER
CADC0113440Medicaid
CA112441OtherX-RAY OPERATOR ID NUMBER
CA923408OtherQME CERTIFICATE NUMBER
CADC011344Medicare ID - Type UnspecifiedMEDICARE ID NUMBER