MEDICARE: JAMES HARRISON SPURLING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1205086113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES HARRISON SPURLING

Provider Business Mailing Address
First Line	:	6817 LINDLEY WORLEY RD
Second Line	:
City	:	PLEASANT PLAIN
State	:	OH
Zip	:	45162-9364
Country	:	US
Telephone Number	:	513-383-5934
Fax Number	:	513-274-5603

Provider Business Practice Location Address
First Line	:	6817 LINDLEY WORLEY RD
Second Line	:
City	:	PLEASANT PLAIN
State	:	OH
Zip	:	45162-9364
Country	:	US
Telephone Number	:	513-383-5934
Fax Number	:	513-274-5603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2008
Last Update Date	:	09/27/2008

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