Provider Demographics
NPI:1427057660
Name:REES, JAMES CORBETT (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CORBETT
Last Name:REES
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 1:17 S TOMPKINS ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-1205
Mailing Address - Country:US
Mailing Address - Phone:317-392-3300
Mailing Address - Fax:317-392-2528
Practice Address - Street 1:17 S TOMPKINS ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-1205
Practice Address - Country:US
Practice Address - Phone:317-392-3300
Practice Address - Fax:317-392-2528
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000521A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor