Healthcare Provider Details

I. General information

NPI: 1578754248
Provider Name (Legal Business Name): JAMES MCERLAIN DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W INDIANTOWN RD SUITE 105
JUPITER FL
33458-3539
US

IV. Provider business mailing address

125 W INDIANTOWN RD SUITE 105
JUPITER FL
33458-3539
US

V. Phone/Fax

Practice location:
  • Phone: 561-741-7575
  • Fax: 561-741-7155
Mailing address:
  • Phone: 561-741-7575
  • Fax: 561-741-7155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8708
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT19997
License Number StateFL

VIII. Authorized Official

Name: DR. JAMES FRANCIS MCERLAIN IV
Title or Position: OWNER/PRESIDENT
Credential: D.C.
Phone: 561-741-7575