Provider Demographics
NPI:1831283407
Name:STORMS, JAMES R III (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:STORMS
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:352 EAST FIRST STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830
Mailing Address - Country:US
Mailing Address - Phone:607-936-4954
Mailing Address - Fax:607-936-2480
Practice Address - Street 1:352 EAST FIRST STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830
Practice Address - Country:US
Practice Address - Phone:607-936-4954
Practice Address - Fax:607-936-2480
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYX3280111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY55977BMedicare PIN
NY55977AMedicare PIN
NYT26577Medicare UPIN