Provider Demographics
NPI:1144307935
Name:MCCANN, JAMES W (DC,)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:MCCANN
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 1:26 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-2542
Mailing Address - Country:US
Mailing Address - Phone:413-562-7428
Mailing Address - Fax:
Practice Address - Street 1:1353 DWIGHT ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2304
Practice Address - Country:US
Practice Address - Phone:413-538-8808
Practice Address - Fax:413-538-8809
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1610937Medicaid
MAMCY14540Medicare ID - Type Unspecified
MA1610937Medicaid