Provider Demographics
NPI:1023165776
Name:ANDERSON, JAMES T (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:6726 S REVERE PKWY
Mailing Address - Street 2:#110
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3961
Mailing Address - Country:US
Mailing Address - Phone:303-649-9950
Mailing Address - Fax:303-649-9951
Practice Address - Street 1:6726 S REVERE PKWY
Practice Address - Street 2:#110
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3961
Practice Address - Country:US
Practice Address - Phone:303-649-9950
Practice Address - Fax:303-649-9951
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO4044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor