Provider Demographics
NPI:1871592998
Name:CULVEYHOUSE, JAMES B SR (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:CULVEYHOUSE
Suffix:SR
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 1:1900 PASS RD
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39501-5100
Mailing Address - Country:US
Mailing Address - Phone:228-864-6159
Mailing Address - Fax:228-864-3186
Practice Address - Street 1:1900 PASS RD
Practice Address - Street 2:SUITE D
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501-5100
Practice Address - Country:US
Practice Address - Phone:228-864-6159
Practice Address - Fax:228-864-3186
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0356111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00119478Medicaid
MS00119478Medicaid