Healthcare Provider Details

I. General information

NPI: 1033477278
Provider Name (Legal Business Name): JAMES STEPHEN HARMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 MORRIS ST STE 400
CHARLESTON WV
25301
US

IV. Provider business mailing address

415 MORRIS ST STE 400
CHARLESTON WV
25301-1897
US

V. Phone/Fax

Practice location:
  • Phone: 304-344-3551
  • Fax: 304-342-6927
Mailing address:
  • Phone: 304-344-3551
  • Fax: 304-342-6927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number25MB09731100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number3298
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: