Provider Demographics
NPI:1770644973
Name:BROWN, JAMES CLIFFORD (DC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CLIFFORD
Last Name:BROWN
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 1:635 EAST MAIN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075
Mailing Address - Country:US
Mailing Address - Phone:615-824-8484
Mailing Address - Fax:615-826-0669
Practice Address - Street 1:635 EAST MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075
Practice Address - Country:US
Practice Address - Phone:615-824-8484
Practice Address - Fax:615-826-0669
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN0000000773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3675926Medicare ID - Type Unspecified
U20465Medicare UPIN