Provider Demographics
NPI:1154425460
Name:SYLVIA, JAMES CRAIG (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CRAIG
Last Name:SYLVIA
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 1:2601 N HERRITAGE ST
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501
Mailing Address - Country:US
Mailing Address - Phone:252-523-1900
Mailing Address - Fax:252-523-2748
Practice Address - Street 1:2601 N HERRITAGE ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-1502
Practice Address - Country:US
Practice Address - Phone:252-523-1900
Practice Address - Fax:252-523-2748
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908703Medicaid
NC08703OtherBCBS
NC2450489BMedicare ID - Type Unspecified
U48893Medicare UPIN