Provider Demographics
NPI:1770606295
Name:HALL, JAMES MICHAEL II (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:HALL
Suffix:II
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 1:3839 CONSTELLATION RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-1466
Mailing Address - Country:US
Mailing Address - Phone:805-733-2829
Mailing Address - Fax:
Practice Address - Street 1:3839 CONSTELLATION RD
Practice Address - Street 2:SUITE C
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-1466
Practice Address - Country:US
Practice Address - Phone:805-733-2829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor