=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114075264
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES G DUNCAN II D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 901 TAYLOR ST SUITE C
-----------------------------------------------------
City | CHELSEA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48118-2301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-475-2932
-----------------------------------------------------
Fax | 734-475-1885
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 901 TAYLOR ST SUITE C
-----------------------------------------------------
City | CHELSEA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48118-2301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-475-2932
-----------------------------------------------------
Fax | 734-475-1885
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | JD006131
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------