Provider Demographics
NPI:1801985429
Name:ABELER, JAMES JOSEPH II (DC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOSEPH
Last Name:ABELER
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 1:600 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-2527
Mailing Address - Country:US
Mailing Address - Phone:763-421-3722
Mailing Address - Fax:763-421-1476
Practice Address - Street 1:600 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-2527
Practice Address - Country:US
Practice Address - Phone:763-421-3722
Practice Address - Fax:763-421-1476
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1543111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0G120ABOtherBLUE CROSS BLUE SHIELD
MN620527500Medicaid
MN350050492OtherMEDICARE RAILROAD
MN620527500Medicaid
MN350050492OtherMEDICARE RAILROAD