Provider Demographics
NPI:1912052879
Name:VUOTTO, JAMES A (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:VUOTTO
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 1:2127 E 71ST ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-1307
Mailing Address - Country:US
Mailing Address - Phone:317-253-2888
Mailing Address - Fax:317-257-7178
Practice Address - Street 1:8130 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-6833
Practice Address - Country:US
Practice Address - Phone:317-898-6989
Practice Address - Fax:317-897-7170
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INU17412Medicare UPIN
IN137520Medicare PIN