James D Athing, D.C.

Individual provider Active NPI Chiropractor · Arcata, CA

NPI 1750496113 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1750496113
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC0123490 (CA)
Practice address
735 12TH St
Arcata, CA 95521-5865
Phone
(707) 822-7419
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12349CAMDMental Health Counselor
DC0123490CAMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0123490 CA Yes

Addresses

Primary practice location

735 12TH St
Arcata, CA 95521-5865

Mailing address

735 12TH St
Arcata, CA 95521-5865
Phone (707) 822-7419

Other identifiers

IdentifierTypeStateIssuer
DC0123490MedicaidCA

Other providers in Arcata, CA

All providers in Arcata, CA · Chiropractor in California

Sources for this page

Verify at the official NPI Registry.