James Edwin Platt, D.C.
Individual provider Active NPI Chiropractor · Gualala, CA
NPI 1275858573 · NPPES record last updated Mar 30, 2010
Key facts
- NPI
- 1275858573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 14470 (CA)
- Practice address
- 38820 Hwy. 1
Suite 108
Gualala, CA 95445 - Phone
- (707) 884-4008
- NPI assigned
- Mar 30, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14470 | CA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14470 | CA | Yes |
Addresses
Primary practice location
38820 Hwy. 1
Suite 108
Gualala, CA 95445
Mailing address
P.O. Box 579
Gualala, CA 95445
Phone (707) 884-4008
Other providers in Gualala, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.