Provider Demographics
NPI:1487721775
Name:OLIN, JAMES DANIEL (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DANIEL
Last Name:OLIN
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 1:229 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-5833
Mailing Address - Country:US
Mailing Address - Phone:903-892-3471
Mailing Address - Fax:903-893-2745
Practice Address - Street 1:229 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5833
Practice Address - Country:US
Practice Address - Phone:903-892-3471
Practice Address - Fax:903-893-2745
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2010-01-27
Deactivation Date:2007-02-21
Deactivation Code:
Reactivation Date:2007-09-05
Provider Licenses
StateLicense IDTaxonomies
TX2218111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX600163OtherBCBS
TX5737121OtherAETNA
TX6757933OtherCIGNA
TX350042316OtherRAILROAD MEDICARE
TX8115102OtherBCBS BLUE LINK
TX6757933OtherCIGNA
T15102Medicare UPIN