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NPI Code Detail

MEDICARE: MICHAEL JAMES SR.

MEDICARE:   MICHAEL  JAMES SR.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor193400000XIN

Other Identifiers

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

General Provider Information

NPI Number : 1669848628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JAMES SR.
Provider Business Mailing Address
First Line : 1431 N DELAWARE ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2416
Country : US
Telephone Number : 317-536-7100
Fax Number :
Provider Business Practice Location Address
First Line : 1431 N DELAWARE ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2416
Country : US
Telephone Number : 317-536-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2015
Last Update Date : 08/13/2015

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Directions to “ MICHAEL JAMES SR. ” Practice Location

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