Provider Demographics
NPI:1639271737
Name:WION, JAMES L (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:WION
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 1:11001 BROAD ST SW
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-9298
Mailing Address - Country:US
Mailing Address - Phone:740-927-3494
Mailing Address - Fax:740-927-3496
Practice Address - Street 1:11001 BROAD ST SW
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-9298
Practice Address - Country:US
Practice Address - Phone:740-927-3494
Practice Address - Fax:740-927-3496
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3530111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2527484Medicaid
OH000000530414OtherANTHEM BC BS
OH310811048033OtherCARESOUCE
OH310811048033OtherCARESOUCE
OHU45083Medicare UPIN
OH4138555Medicare PIN