MEDICARE: JAMES EDWARD HUNTER

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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1982002200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES EDWARD HUNTER

Provider Business Mailing Address
First Line	:	2059 BIG TREE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43223-3292
Country	:	US
Telephone Number	:	614-275-4777
Fax Number	:	614-275-4799

Provider Business Practice Location Address
First Line	:	2059 BIG TREE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43223-3292
Country	:	US
Telephone Number	:	614-275-4777
Fax Number	:	614-275-4799

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

Provider Enumeration Date	:	12/18/2014
Last Update Date	:	12/18/2014

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