Provider Demographics
NPI:1215912431
Name:SPINOS, JAMES M JR (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:SPINOS
Suffix:JR
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 1:3135 NEW GERMANY RD
Mailing Address - Street 2:SUITE 33
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-4347
Mailing Address - Country:US
Mailing Address - Phone:814-419-8445
Mailing Address - Fax:814-419-8439
Practice Address - Street 1:3135 NEW GERMANY RD
Practice Address - Street 2:SUITE 33
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4347
Practice Address - Country:US
Practice Address - Phone:814-419-8445
Practice Address - Fax:814-419-8439
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC00S394L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00141033S0003Medicaid
PA00141033S0003Medicaid
PW747096JTSMedicare ID - Type Unspecified