Healthcare Provider Details

I. General information

NPI: 1629040399
Provider Name (Legal Business Name): JAMES EDWIN MUSICK D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 NORTH HILLVIEW DRIVE
MILPITAS CA
95035-5297
US

IV. Provider business mailing address

854 NORTH HILLVIEW DRIVE
MILPITAS CA
95035-5297
US

V. Phone/Fax

Practice location:
  • Phone: 408-262-4600
  • Fax: 408-262-4355
Mailing address:
  • Phone: 408-262-4600
  • Fax: 408-262-4355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number11344
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11344
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: