Provider Demographics
NPI:1649442500
Name:HUTTON, JAMES CARLTON (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CARLTON
Last Name:HUTTON
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:P.O. BOX 1053
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:VA
Mailing Address - Zip Code:20116-1053
Mailing Address - Country:US
Mailing Address - Phone:540-364-2045
Mailing Address - Fax:
Practice Address - Street 1:8430 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:VA
Practice Address - Zip Code:20115
Practice Address - Country:US
Practice Address - Phone:540-364-2045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000463111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1720159718OtherCORP NPI
VA333242OtherANTHEM BC/BS
VAC09690Medicare PIN
VA1720159718OtherCORP NPI