MEDICARE: DR. JAMES HERMAN, P.L.L.C

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	111NX0800X	Orthopedic Chiropractor	JH004631	MI

General Provider Information

NPI Number	:	1275860009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. JAMES HERMAN, P.L.L.C

Provider Business Mailing Address
First Line	:	6431 INKSTER RD
Second Line	:	SUITE 220
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48301-1310
Country	:	US
Telephone Number	:	248-539-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	6431 INKSTER RD
Second Line	:	SUITE 220
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48301-1310
Country	:	US
Telephone Number	:	248-539-0100
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	JAMES HERMAN
Credential	:
Telephone Number	:	248-539-0100

Provider Enumeration Date	:	11/16/2009
Last Update Date	:	11/16/2009

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