Provider Demographics
NPI:1710168737
Name:JAMES, JEFFREY MADISON (DC, PC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MADISON
Last Name:JAMES
Suffix:
Gender:M
Credentials:DC, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9151 KEY COMMONS CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-5300
Mailing Address - Country:US
Mailing Address - Phone:703-369-4111
Mailing Address - Fax:703-369-4317
Practice Address - Street 1:9151 KEY COMMONS CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-5300
Practice Address - Country:US
Practice Address - Phone:703-369-4111
Practice Address - Fax:703-369-4317
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000626111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor