Provider Demographics
NPI:1366523524
Name:LOVETT, JAMES MICHAEL (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:LOVETT
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:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:MS
Mailing Address - Zip Code:38751-0547
Mailing Address - Country:US
Mailing Address - Phone:662-887-2922
Mailing Address - Fax:662-887-2229
Practice Address - Street 1:1470 HWY US 82 EAST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:MS
Practice Address - Zip Code:38751
Practice Address - Country:US
Practice Address - Phone:668-887-2922
Practice Address - Fax:662-887-2229
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor