Provider Demographics
NPI:1811096910
Name:WARD, JAMES ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANTHONY
Last Name:WARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:174 N MAIN ST
Mailing Address - City:DUBLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18917
Mailing Address - Country:US
Mailing Address - Phone:215-249-1188
Mailing Address - Fax:215-249-9686
Practice Address - Street 1:174 N MAIN ST
Practice Address - Street 2:SUITE C-2
Practice Address - City:DUBLIN
Practice Address - State:PA
Practice Address - Zip Code:18917
Practice Address - Country:US
Practice Address - Phone:215-249-1188
Practice Address - Fax:215-249-9686
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC3508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
505409Medicare ID - Type Unspecified