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NPI Code Detail

MEDICARE: JAMES E PARKER

MEDICARE: JAMES E PARKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies12145840MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073784112
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES E PARKER
Provider Business Mailing Address
First Line : PO BOX 938
Second Line :
City : CAMDENTON
State : MO
Zip : 65020-0938
Country : US
Telephone Number : 573-346-5556
Fax Number : 573-346-5788
Provider Business Practice Location Address
First Line : 206 S MILL ST
Second Line :
City : ELDON
State : MO
Zip : 65026-1864
Country : US
Telephone Number : 573-392-9956
Fax Number : 573-392-9958
Authorized Official
Title or Position : PRESIDENT
Name : JAMES EARL PARKER
Credential :
Telephone Number : 573-346-5556
Provider Enumeration Date : 03/17/2008
Last Update Date : 08/08/2008

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