Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 35031139 | OH |
NPI | 1184606907 |
---|---|
Provider Name | Dr. James A. Sims |
First Address | Dayton, OH 45409-2348 |
Second Address | Kettering, OH 45429-3555 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 09/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A75346 | (02) | OH |