Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 11344 | CA |
N | 111NI0013X | Independent Medical Examiner | 11344 | CA |
NPI | 1629040399 |
---|---|
Provider Name | Dr. James Edwin Musick |
First Address | Milpitas, CA 95035-5297 |
Second Address | Milpitas, CA 95035-5297 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 01/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
112441 | X-RAY OPERATOR ID NUMBER (01) | CA |
11344 | STATE LICENSE NUMBER (01) | CA |
923408 | QME CERTIFICATE NUMBER (01) | CA |
DC0113440 | (05) | CA |