Provider Demographics
NPI:1477753622
Name:CHUMLEY, JAMES THOMAS (DC DR CHIROPRACTIC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:THOMAS
Last Name:CHUMLEY
Suffix:
Gender:M
Credentials:DC DR CHIROPRACTIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 HIGHWAY 70 EAST
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-6122
Mailing Address - Country:US
Mailing Address - Phone:615-446-5953
Mailing Address - Fax:
Practice Address - Street 1:2550 HIGHWAY 70 EAST
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-6122
Practice Address - Country:US
Practice Address - Phone:615-446-5953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC480111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0054011OtherBCBS OF TENNESSEE
3673661Medicare ID - Type Unspecified