MEDICARE: JAMES T HARGER PA

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	363AM0700X	Medical Physician Assistant	50002112	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1588661805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES T HARGER PA

Provider Business Mailing Address
First Line	:	1250 RALSTON AVE
Second Line	:	STE 102
City	:	DEFIANCE
State	:	OH
Zip	:	43512-5311
Country	:	US
Telephone Number	:	419-783-9699
Fax Number	:	419-782-8062

Provider Business Practice Location Address
First Line	:	1250 RALSTON AVE
Second Line	:	STE 102
City	:	DEFIANCE
State	:	OH
Zip	:	43512-5311
Country	:	US
Telephone Number	:	419-783-9699
Fax Number	:	419-782-8062

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	12/04/2012

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Directions to “ JAMES T HARGER PA” Practice Location

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