Provider Demographics
NPI:1730164559
Name:TOON, JAMES M (DC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:TOON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-1703
Mailing Address - Country:US
Mailing Address - Phone:570-784-9335
Mailing Address - Fax:570-784-0973
Practice Address - Street 1:1000 MARKET ST
Practice Address - Street 2:SUITE 39
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-2600
Practice Address - Country:US
Practice Address - Phone:570-784-9335
Practice Address - Fax:570-784-0973
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009438111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
3794657OtherAETNA
PA1012729840001Medicaid
T01726767OtherBLUE SHIELD
1546544OtherGATEWAY
1060357OtherAMERICAN SPECIALTY HEALTH
2404719000OtherKEYSTONE
819140OtherFIRST PRIORITY
50051675OtherBLUE CROSS
090493Medicare ID - Type Unspecified
50051675OtherBLUE CROSS