MEDICARE: JAMES E CAIN JR. MD

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	33238	WI
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	7792214-1205	UT
3	207X00000X	Orthopaedic Surgery Physician	33238	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200017747	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235133257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES E CAIN JR. MD

Provider Business Mailing Address
First Line	:	525 WEST RIVER WOODS PARKWAY
Second Line	:	SUITE 130
City	:	GLENDALE
State	:	WI
Zip	:	53212-1058
Country	:	US
Telephone Number	:	414-961-0304
Fax Number	:	414-961-2061

Provider Business Practice Location Address
First Line	:	525 WEST RIVER WOODS PARKWAY
Second Line	:	SUITE 130
City	:	GLENDALE
State	:	WI
Zip	:	53212
Country	:	US
Telephone Number	:	414-961-0304
Fax Number	:	414-961-2061

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	07/18/2018

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