=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245558550
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES R. NEIL D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2010
-----------------------------------------------------
Last Update Date | 12/05/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1557 AIRPORT RD STE A1
-----------------------------------------------------
City | HOT SPRINGS NATIONAL PARK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 71913-7963
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-991-6179
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1557 AIRPORT RD STE A1
-----------------------------------------------------
City | HOT SPRINGS NATIONAL PARK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 71913-7963
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-991-6179
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH 60540141
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 8123
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 16288
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------