Provider Demographics
NPI:1659439099
Name:JAMES, RANDY LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:RANDY
Middle Name:LEE
Last Name:JAMES
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 1:1501 W CAMPUS DR STE I
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4535
Mailing Address - Country:US
Mailing Address - Phone:303-795-7530
Mailing Address - Fax:303-795-7660
Practice Address - Street 1:1501 W CAMPUS DR STE I
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4535
Practice Address - Country:US
Practice Address - Phone:303-795-7530
Practice Address - Fax:303-795-7660
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU98556Medicare UPIN
COC522368Medicare ID - Type Unspecified