Provider Demographics
NPI:1891829974
Name:BISKO, JAMES (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BISKO
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 1:10050 W BELL RD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-1287
Mailing Address - Country:US
Mailing Address - Phone:623-972-0262
Mailing Address - Fax:623-972-8068
Practice Address - Street 1:10050 W BELL RD
Practice Address - Street 2:SUITE 14
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-1287
Practice Address - Country:US
Practice Address - Phone:623-972-0262
Practice Address - Fax:623-972-8068
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7595111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA610724Medicare ID - Type Unspecified