Provider Demographics
NPI:1124109129
Name:LEKER, JAMES C (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:LEKER
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 1:65 PINEVILLE RD.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36460-1845
Mailing Address - Country:US
Mailing Address - Phone:251-575-7657
Mailing Address - Fax:
Practice Address - Street 1:65 PINEVILLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460-1845
Practice Address - Country:US
Practice Address - Phone:251-575-7657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU-53471Medicare UPIN
AL000075081Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER