Provider Demographics
NPI:1992711618
Name:BILLIS, JAMES M (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:BILLIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1 QUEENSBOROUGH CIR
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72714-5831
Mailing Address - Country:US
Mailing Address - Phone:479-903-0979
Mailing Address - Fax:479-903-0979
Practice Address - Street 1:1 QUEENSBOROUGH CIR
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72714-5831
Practice Address - Country:US
Practice Address - Phone:479-903-0979
Practice Address - Fax:479-903-0979
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR87111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor