# DR. JAMES GREGORY KOLWAITE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770665903
- **Gender:** Man
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X0089351 | NY | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 04/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002932900 | BCBS | — |
| 01 | — | 3210 | MVP | — |
| 01 | — | 5899696 | GHI | — |
| 01 | — | 656379 | ACN | — |
| 01 | — | A7467 | EMPRIE BC | — |
| 01 | — | C089351 | WORKERS COMP | — |