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General NPI Number Information
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NPI Number | 1790954055
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Entity Type | Organization
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Legal Business Name | JAMES H MCCLAIN
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 68689 VINEWOOD AVE
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City | STURGIS
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State | MI
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Zip | 49091-8896
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Country | US
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Telephone | 269-651-1038
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Fax | 269-659-8276
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Provider Business Mailing Address
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Address Line | 68689 VINEWOOD AVE
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City | STURGIS
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State | MI
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Zip | 49091-8896
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Country | US
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Telephone | 269-651-1038
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Fax | 269-659-8276
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | DR. JAMES H MCCLAIN
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Credential | D.P.M.
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Telephone | 269-651-1038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | JM001119
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License Number State | MI
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