Provider Demographics
NPI:1629052022
Name:DR JAMES R DUTTON JR
Entity Type:Organization
Organization Name:DR JAMES R DUTTON JR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:DUTTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:828-252-8700
Mailing Address - Street 1:30 RAVENSCROFT DRIVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801
Mailing Address - Country:US
Mailing Address - Phone:828-252-8700
Mailing Address - Fax:828-252-8700
Practice Address - Street 1:30 RAVENSCROFT DRIVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-252-8700
Practice Address - Fax:828-252-8700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty