=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427503499
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES W HALL D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2016
-----------------------------------------------------
Last Update Date | 06/21/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 TOPSFIELD RD UNIT A
-----------------------------------------------------
City | IPSWICH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01938-2131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-312-2063
-----------------------------------------------------
Fax | 978-336-0344
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 TOPSFIELD RD UNIT A
-----------------------------------------------------
City | IPSWICH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01938-2131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-312-2063
-----------------------------------------------------
Fax | 978-336-0344
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 3544
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------