MEDICARE: JAMES A WELLS INC PS

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	CH00001333	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720283658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES A WELLS INC PS

Provider Business Mailing Address
First Line	:	17226 SR 536
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-8757
Country	:	US
Telephone Number	:	360-428-0471
Fax Number	:	360-428-0435

Provider Business Practice Location Address
First Line	:	17226 SR 536
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-8757
Country	:	US
Telephone Number	:	360-428-0471
Fax Number	:	360-428-0435

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	MR. JAMES ARTHUR WELLS
Credential	:	DC
Telephone Number	:	360-428-0471

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	08/22/2020

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