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NPI Code Detail

MEDICARE: DR. JIM B HARVEY DPM

MEDICARE: DR. JIM B HARVEY DPM
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
1213ES0131XFoot Surgery PodiatristPD143RLA

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 : 1801898531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIM B HARVEY DPM
Provider Business Mailing Address
First Line : 1108 PORT ARTHUR TER
Second Line :
City : LEESVILLE
State : LA
Zip : 71446-4600
Country : US
Telephone Number : 337-239-1061
Fax Number : 337-239-1062
Provider Business Practice Location Address
First Line : 1108 PORT ARTHUR TER
Second Line :
City : LEESVILLE
State : LA
Zip : 71446-4600
Country : US
Telephone Number : 337-239-1061
Fax Number : 337-239-1062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 08/09/2011

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Directions to “ DR. JIM B HARVEY DPM” Practice Location

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