MEDICARE: JAMES F HUISH D.P.M. INC

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	213E00000X	Podiatrist	E26990	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	5809830001	OTHER	CA	MEDICARE NSC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E26990	OTHER	CA	CA. LICENSE NUMBER

General Provider Information

NPI Number	:	1942485594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES F HUISH D.P.M. INC

Provider Business Mailing Address
First Line	:	700 W OLIVE AVE STE C
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-2435
Country	:	US
Telephone Number	:	209-384-3668
Fax Number	:	209-384-3264

Provider Business Practice Location Address
First Line	:	700 W OLIVE AVE STE C
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-2435
Country	:	US
Telephone Number	:	209-384-3668
Fax Number	:	209-384-3264

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES FRANKLIN HUISH
Credential	:	DPM
Telephone Number	:	209-384-3668

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	07/10/2008

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