Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 05002712A | IN |
N | 2251S0007X | Physical Therapist - Sports | 05002712A | IN |
N | 2251X0800X | Physical Therapist - Orthopedic | 05002712A | IN |
NPI | 1366642688 |
---|---|
Provider Name | Dr. James E Dye |
First Address | Gary, IN 46408-1427 |
Second Address | Gary, IN 46408-1427 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 07/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000241485 | BC/BS (01) | IN |
000000241486 | BC/BS (01) | IN |
200400020A | (05) | IN |
P01061948 | MEDICARE RAILROAD (01) | IN |