Provider Demographics
NPI:1447371000
Name:DAVIS, JAMES A (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:DAVIS
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 421
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89024-0421
Mailing Address - Country:US
Mailing Address - Phone:702-346-4242
Mailing Address - Fax:
Practice Address - Street 1:12 W MESQUITE BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-4773
Practice Address - Country:US
Practice Address - Phone:702-346-4242
Practice Address - Fax:702-346-7070
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor