Healthcare Provider Details

I. General information

NPI: 1215912431
Provider Name (Legal Business Name): JAMES M SPINOS JR. DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 10/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3135 NEW GERMANY RD SUITE 33
EBENSBURG PA
15931-4347
US

IV. Provider business mailing address

3135 NEW GERMANY RD SUITE 33
EBENSBURG PA
15931-4347
US

V. Phone/Fax

Practice location:
  • Phone: 814-419-8445
  • Fax: 814-419-8439
Mailing address:
  • Phone: 814-419-8445
  • Fax: 814-419-8439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC00S394L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: