Provider Demographics
NPI:1528160496
Name:ABENS, JAMES M (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:ABENS
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 1:3808 CHIPPEWA RIVER DR
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-0107
Mailing Address - Country:US
Mailing Address - Phone:715-832-4446
Mailing Address - Fax:
Practice Address - Street 1:3420 MALL DR
Practice Address - Street 2:SUITE 2
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-7633
Practice Address - Country:US
Practice Address - Phone:715-552-5254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1890111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38783500Medicaid
WI38783500Medicaid
WIT61334Medicare UPIN