Provider Demographics
NPI:1669651832
Name:ALVIS, JAMES E (DC, QME, AME)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:ALVIS
Suffix:
Gender:M
Credentials:DC, QME, AME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E FOOTHILL BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1200
Mailing Address - Country:US
Mailing Address - Phone:909-399-9696
Mailing Address - Fax:909-399-0065
Practice Address - Street 1:520 E FOOTHILL BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-1200
Practice Address - Country:US
Practice Address - Phone:909-399-9696
Practice Address - Fax:909-399-0065
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16240111N00000X, 111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner