=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487676052
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JAMES C. CULVER, M.D., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2006
-----------------------------------------------------
Last Update Date | 09/09/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5202 MILLER RD
-----------------------------------------------------
City | FLINT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48507-1040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 810-720-8900
-----------------------------------------------------
Fax | 810-720-1417
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5202 MILLER RD
-----------------------------------------------------
City | FLINT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48507-1040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 810-720-8900
-----------------------------------------------------
Fax | 810-720-1417
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | JAMES C CULVER
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 810-720-8900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207LP2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Anesthesiology) Physician
-----------------------------------------------------
License Number | 4301046268
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------