Provider Demographics
NPI:1104988567
Name:MEGLINO, JAMES ALEXANDER (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALEXANDER
Last Name:MEGLINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 GLEN ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-2906
Mailing Address - Country:US
Mailing Address - Phone:518-798-8830
Mailing Address - Fax:518-798-2338
Practice Address - Street 1:467 GLEN ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-2906
Practice Address - Country:US
Practice Address - Phone:518-798-8830
Practice Address - Fax:518-798-2338
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002983-1111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO29837OtherWORKERS' COMP
NMX32031OtherEMPIRE BLUE CROSS
NYCO29837OtherWORKERS' COMP