Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH00033996 | WA |
N | 111N00000X | Chiropractor | DC28432 | CA |
N | 111NX0100X | Occupational Health | DC28432 | CA |
NPI | 1487763157 |
---|---|
Provider Name | Mr. James Lloyd Stirton JR. |
First Address | Rancho Cordova, CA 95670-5659 |
Second Address | Rancho Cordova, CA 95670-5659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 15/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC0284320 | (02) | CA |
DC0284320 | BLUE SHIELD OF CA PIN (01) | CA |
DC28432 | LICENSE NUMBER (01) | CA |