MEDICARE: JAMES E VOLK INC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	4058	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1750556056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES E VOLK INC

Provider Business Mailing Address
First Line	:	873 NATIONAL RD
Second Line	:
City	:	BRIDGEPORT
State	:	OH
Zip	:	43912-1464
Country	:	US
Telephone Number	:	740-633-3711
Fax Number	:	740-633-3711

Provider Business Practice Location Address
First Line	:	873 NATIONAL RD
Second Line	:
City	:	BRIDGEPORT
State	:	OH
Zip	:	43912-1464
Country	:	US
Telephone Number	:	740-633-3711
Fax Number	:	740-633-3711

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES EDWARD VOLK
Credential	:	OD
Telephone Number	:	740-282-3461

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	12/04/2013

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