Provider Demographics
NPI:1124075999
Name:WHIDDEN, JAMES E IV (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:WHIDDEN
Suffix:IV
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 1:4259 ARYSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-3711
Mailing Address - Country:US
Mailing Address - Phone:719-593-0300
Mailing Address - Fax:719-591-9545
Practice Address - Street 1:9420 BRIAR VILLAGE PT
Practice Address - Street 2:SUITE 130
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7900
Practice Address - Country:US
Practice Address - Phone:719-593-0300
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor