Provider Demographics
NPI:1215062930
Name:PERKINS, JAMES EDWARD (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:PERKINS
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 1:6018 W MAPLE RD
Mailing Address - Street 2:SUITE 888
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4404
Mailing Address - Country:US
Mailing Address - Phone:248-855-8707
Mailing Address - Fax:248-538-3724
Practice Address - Street 1:6018 W MAPLE RD
Practice Address - Street 2:SUITE 888
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4404
Practice Address - Country:US
Practice Address - Phone:248-855-8707
Practice Address - Fax:248-538-3724
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950F350100OtherBLUE CROSS BLUE SHIELD
MI950F350100OtherBLUE CROSS BLUE SHIELD
MI0F35010Medicare PIN