Provider Demographics
NPI:1730102179
Name:MADIGAN, JAMES FREDERICK (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FREDERICK
Last Name:MADIGAN
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 1:9352 MADISON AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4968
Mailing Address - Country:US
Mailing Address - Phone:916-987-0133
Mailing Address - Fax:916-987-0134
Practice Address - Street 1:9352 MADISON AVE STE 3
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4968
Practice Address - Country:US
Practice Address - Phone:916-987-0133
Practice Address - Fax:916-987-0134
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17329111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC017329Medicare ID - Type Unspecified
CAT67052Medicare UPIN