Provider Demographics
NPI:1528066974
Name:LIOTT, JAMES MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:LIOTT
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 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007709L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
73560OtherGEISINGER HEALTH PLAN
421565OtherHEALTHAMERICA/HEALTHASSUR
0543950000OtherAMERIHEALTH
0543950000OtherINDEPENDENCE BLUE CROSS
1560293OtherCIGNA HEALTHCARE
PA0018330910001Medicaid
01872701OtherKEYSTONE HEALTH CENTRAL
350051207OtherRAILROAD MEDICARE
501312OtherFIRST PRIORITY LIFE INS.
501312OtherHIGHMARK BLUE SHIELD
0543950000OtherKEYSTONE HEALTH EAST
01872701OtherCAPITAL BLUE CROSS
1943532OtherPRIVATE HEALTHCARE SYSTEM
2128564OtherUNITED HEALTHCARE
P2365347OtherOXFORD HEALTH PLANS
U83796Medicare UPIN
PA0018330910001Medicaid