Provider Demographics
NPI:1992874721
Name:JAMES, RUPERT ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:RUPERT
Middle Name:ALAN
Last Name:JAMES
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:PO BOX 1088
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38088-1088
Mailing Address - Country:US
Mailing Address - Phone:901-821-0945
Mailing Address - Fax:901-821-0965
Practice Address - Street 1:5570 MURRAY RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3805
Practice Address - Country:US
Practice Address - Phone:901-821-0945
Practice Address - Fax:901-821-0965
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN677111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3085510OtherBLUE CROSS BLUE SHIELD
TN4440345OtherUNITED HEALTHCARE
TN5280630OtherAETNA
TN8981696OtherCIGNA
TN5280630OtherAETNA
TN8981696OtherCIGNA