Provider Demographics
NPI:1134154925
Name:DOWNING, JAMES WADE (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WADE
Last Name:DOWNING
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 1:16941 PRAIRIE CIR
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-9107
Mailing Address - Country:US
Mailing Address - Phone:405-324-6890
Mailing Address - Fax:
Practice Address - Street 1:105 E VANDAMENT AVE
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-4706
Practice Address - Country:US
Practice Address - Phone:405-354-0994
Practice Address - Fax:405-354-0995
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor