Provider Demographics
NPI:1801987375
Name:MYERS, JAMES W (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:MYERS
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 1:15965 NE 85TH ST
Mailing Address - Street 2:#101
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3593
Mailing Address - Country:US
Mailing Address - Phone:425-883-2245
Mailing Address - Fax:425-558-5639
Practice Address - Street 1:15965 NE 85TH ST
Practice Address - Street 2:#101
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3593
Practice Address - Country:US
Practice Address - Phone:425-883-2245
Practice Address - Fax:425-558-5639
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003278111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0109107OtherCOMMERCIAL
WA2021574Medicaid
WA2021574Medicaid
WAGAB39015Medicare PIN