MEDICARE: DR. JAMES E EMMS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301009629	MI

General Provider Information

NPI Number	:	1235469859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES E EMMS D.C.

Provider Business Mailing Address
First Line	:	6771 CASCADE RD SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-6849
Country	:	US
Telephone Number	:	616-975-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	6771 CASCADE RD SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-6849
Country	:	US
Telephone Number	:	616-975-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2010
Last Update Date	:	10/21/2015

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