Provider Demographics
NPI:1124116538
Name:NORMAN, JAMES M (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:NORMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:684 B POOLE ROAD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6003
Mailing Address - Country:US
Mailing Address - Phone:410-848-6161
Mailing Address - Fax:410-848-5215
Practice Address - Street 1:901 EASTERN BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21221-3442
Practice Address - Country:US
Practice Address - Phone:410-933-5678
Practice Address - Fax:410-238-7451
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01254111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD35118301OtherBC ST
MD35118301OtherBS MD
MDT3710001OtherBC FED
DCT371000OtherBS FED
MD35118301OtherBS MD
521393960Medicare UPIN