Provider Demographics
NPI:1134423049
Name:FUERTES, JAMES JONATHAN (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JONATHAN
Last Name:FUERTES
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 1:1110 SHELTON AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-3129
Mailing Address - Country:US
Mailing Address - Phone:614-725-7090
Mailing Address - Fax:614-725-7090
Practice Address - Street 1:500 LENTZ DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5135
Practice Address - Country:US
Practice Address - Phone:615-499-4363
Practice Address - Fax:615-499-4363
Is Sole Proprietor?:No
Enumeration Date:2011-01-06
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002590111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor