Healthcare Provider Details

I. General information

NPI: 1134154925
Provider Name (Legal Business Name): JAMES WADE DOWNING D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E VANDAMENT AVE
YUKON OK
73099-4706
US

IV. Provider business mailing address

16941 PRAIRIE CIR
EL RENO OK
73036-9107
US

V. Phone/Fax

Practice location:
  • Phone: 405-354-0994
  • Fax: 405-354-0995
Mailing address:
  • Phone: 405-324-6890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3145
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: