Provider Demographics
NPI:1487763157
Name:STIRTON, JAMES LLOYD JR (DC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LLOYD
Last Name:STIRTON
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 1:10905 OLSON DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-5659
Mailing Address - Country:US
Mailing Address - Phone:916-635-7798
Mailing Address - Fax:916-635-0344
Practice Address - Street 1:10905 OLSON DR
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-5659
Practice Address - Country:US
Practice Address - Phone:916-635-7798
Practice Address - Fax:916-635-0344
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28432111N00000X, 111NX0100X
WACH00033996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0284320OtherBLUE SHIELD OF CA PIN
CADC28432OtherLICENSE NUMBER
CADC28432OtherLICENSE NUMBER
CADC0284320Medicare PIN