Provider Demographics
NPI:1750418927
Name:SHENEMAN, JAMES THOMAS (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:THOMAS
Last Name:SHENEMAN
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:PO BOX 557
Mailing Address - Street 2:136 EAST MICHIGAN AVENUE
Mailing Address - City:CLINTON
Mailing Address - State:MI
Mailing Address - Zip Code:49236-0557
Mailing Address - Country:US
Mailing Address - Phone:517-456-4033
Mailing Address - Fax:517-456-8283
Practice Address - Street 1:136 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MI
Practice Address - Zip Code:49236-9811
Practice Address - Country:US
Practice Address - Phone:517-456-4033
Practice Address - Fax:517-456-8283
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJS007317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP00175344OtherMI TRAVELERS RAILROAD
MI9500650200OtherBCBS OF MICHIGAN
MI9500611000OtherBCBS OF MICHIGAN
MI9500650200OtherBCBS OF MICHIGAN
MIP00175344OtherMI TRAVELERS RAILROAD