Provider Demographics
NPI:1306950910
Name:CESCA, JAMES A (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:CESCA
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 1:1290 BALTIMORE PIKE STE 106
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-7361
Mailing Address - Country:US
Mailing Address - Phone:610-558-8992
Mailing Address - Fax:610-558-7884
Practice Address - Street 1:1290 BALTIMORE PIKE STE 106
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-7361
Practice Address - Country:US
Practice Address - Phone:610-558-8992
Practice Address - Fax:610-558-7884
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2197822000OtherPERSONAL CHOICE
PA070025Medicare ID - Type UnspecifiedMEDICARE GROUP
PA2197822000OtherPERSONAL CHOICE
PAU95407Medicare UPIN