Provider Demographics
NPI:1841472925
Name:BAGGIO, JAMES THOMAS (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:THOMAS
Last Name:BAGGIO
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 1:10555 W PARNELL AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:HALES CORNERS
Mailing Address - State:WI
Mailing Address - Zip Code:53130-2000
Mailing Address - Country:US
Mailing Address - Phone:414-529-1166
Mailing Address - Fax:414-529-4909
Practice Address - Street 1:10555 W PARNELL AVE STE 2
Practice Address - Street 2:
Practice Address - City:HALES CORNERS
Practice Address - State:WI
Practice Address - Zip Code:53130-2000
Practice Address - Country:US
Practice Address - Phone:414-529-1166
Practice Address - Fax:414-529-4909
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2400012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor