Provider Demographics
NPI:1295931673
Name:BROWN, JAMES ROBERT (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ROBERT
Last Name:BROWN
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 1:860 MILDRED AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-9282
Mailing Address - Country:US
Mailing Address - Phone:734-847-6519
Mailing Address - Fax:
Practice Address - Street 1:2467 WOODVILLE RD
Practice Address - Street 2:SUITE #2
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3800
Practice Address - Country:US
Practice Address - Phone:419-693-9144
Practice Address - Fax:866-878-4969
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3784111N00000X
MI2301009228111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor