Healthcare Provider Details

I. General information

NPI: 1841624913
Provider Name (Legal Business Name): JAMES HUTCHISON P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2013
Last Update Date: 06/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 BUENA VISTA
LANDER WY
82520-3431
US

IV. Provider business mailing address

PO BOX 9432
BELFAST ME
04915-9432
US

V. Phone/Fax

Practice location:
  • Phone: 307-332-2941
  • Fax: 307-332-1920
Mailing address:
  • Phone: 307-332-2941
  • Fax: 307-332-1920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: