Provider Demographics
NPI:1700921483
Name:YAGER, JAMES A (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:YAGER
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 1:110 WEST 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:SCOTT CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67871-4156
Mailing Address - Country:US
Mailing Address - Phone:620-872-2310
Mailing Address - Fax:620-872-7038
Practice Address - Street 1:2502 N JOHN ST STE B
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-3073
Practice Address - Country:US
Practice Address - Phone:620-214-0243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105109111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062455OtherBLUE CROSS BLUE SHIELD
KS062452OtherBLUE CROSS BLUE SHIELD
KS062455OtherBLUE CROSS BLUE SHIELD
KSKA1071001Medicare PIN