Provider Demographics
NPI:1205103462
Name:JAMES C. REES, D.C., P.C.
Entity type:Organization
Organization Name:JAMES C. REES, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:REES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-392-3300
Mailing Address - Street 1:17 S TOMPKINS ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-1205
Mailing Address - Country:US
Mailing Address - Phone:317-392-3300
Mailing Address - Fax:
Practice Address - Street 1:17 S TOMPKINS ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-1205
Practice Address - Country:US
Practice Address - Phone:317-392-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000521A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
446280Medicare PIN