Provider Demographics
NPI:1356337885
Name:SINIARD, JAMES J (DC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:SINIARD
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 1:102 MICAH WAY STE 1103
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35769-4161
Mailing Address - Country:US
Mailing Address - Phone:256-259-0333
Mailing Address - Fax:256-259-6134
Practice Address - Street 1:102 MICAH WAY STE 1103
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35769-4161
Practice Address - Country:US
Practice Address - Phone:256-259-0333
Practice Address - Fax:256-259-6134
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL1860111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL201935946OtherTAX ID
AL510I350056OtherMEDICARE
AL51539545OtherBCBS OF AL
ALU71813Medicare UPIN