Healthcare Provider Details

I. General information

NPI: 1114013968
Provider Name (Legal Business Name): JAMES D. ATKINSON D.C.,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8129 N 35TH AVE #3
PHOENIX AZ
85051-5892
US

IV. Provider business mailing address

8129 N 35TH AVE #3
PHOENIX AZ
85051-5892
US

V. Phone/Fax

Practice location:
  • Phone: 602-242-0000
  • Fax: 602-995-4444
Mailing address:
  • Phone: 602-242-0000
  • Fax: 602-995-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6018
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3614
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: