Provider Demographics
NPI:1356583520
Name:LONCAR, JAMES BYRAN (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BYRAN
Last Name:LONCAR
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 1:9841 JOHNNYCAKE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-6729
Mailing Address - Country:US
Mailing Address - Phone:440-354-6767
Mailing Address - Fax:440-354-6919
Practice Address - Street 1:9841 JOHNNYCAKE RIDGE RD
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-6729
Practice Address - Country:US
Practice Address - Phone:440-354-6767
Practice Address - Fax:440-354-6919
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2009-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1283111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9380471OtherMEDICARE GROUP PIN
OH4033021Medicare PIN
OHU80120Medicare UPIN