Provider Demographics
NPI:1528133105
Name:DEVINE, JAMES ALLAN (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLAN
Last Name:DEVINE
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 1:583 BATTERY ST APT 3703
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1994
Mailing Address - Country:US
Mailing Address - Phone:253-219-7879
Mailing Address - Fax:
Practice Address - Street 1:583 BATTERY ST APT 3703
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1994
Practice Address - Country:US
Practice Address - Phone:253-970-8018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA111N00000X111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor