Provider Demographics
NPI:1447285721
Name:KASSINGER, JAMES BRANDON (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRANDON
Last Name:KASSINGER
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 1:1707 ALPINE DR STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-3562
Mailing Address - Country:US
Mailing Address - Phone:770-490-5746
Mailing Address - Fax:931-292-6357
Practice Address - Street 1:1707 ALPINE DR STE B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3562
Practice Address - Country:US
Practice Address - Phone:931-548-8132
Practice Address - Fax:931-548-8133
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103G709245Medicare PIN
TN103I352129Medicare PIN