Healthcare Provider Details

I. General information

NPI: 1326064106
Provider Name (Legal Business Name): JAMES D. HOYT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 11/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 E ERIE ST
MISSOURI VALLEY IA
51555-1690
US

IV. Provider business mailing address

423 E ERIE ST
MISSOURI VALLEY IA
51555-1690
US

V. Phone/Fax

Practice location:
  • Phone: 712-642-3692
  • Fax: 712-642-3694
Mailing address:
  • Phone: 712-642-3692
  • Fax: 712-642-3694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number04814
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: