Judevine, James H.

Judevine, James H. is an individual health care provider with primary practice located at 1175 W Steele Ln Ste 4, Santa Rosa CA 95403-3553. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Judevine, James H. can be contacted via phone (707) 578-4156.

Contact Information

Primary practice address
1175 W Steele Ln Ste 4 Santa Rosa CA 95403-3553
Phone: (707) 578-4156
Fax: (707) 578-0723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC24435 California

Profile Details

NPI number 1891790077
LBN Legal business name Judevine, James H.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Dec 6th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891790077 NPPES
California Other 33-0725022 TAX ID NO.
California Other DC24435 TAX ID NO.

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