Healthcare Provider Details

I. General information

NPI: 1134291834
Provider Name (Legal Business Name): JAMES J HUTCHINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 10/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 SE DEBELL AVE BLDG A
BARTLESVILLE OK
74006-2343
US

IV. Provider business mailing address

226 SE DEBELL AVE BLDG A
BARTLESVILLE OK
74006-2343
US

V. Phone/Fax

Practice location:
  • Phone: 918-331-1020
  • Fax: 918-331-1021
Mailing address:
  • Phone: 918-331-1020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number30140
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: