Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 34-00-2558 | OH |
N | 207QA0401X | Family Doctor - Addiction Medicine | 34002558 | OH |
NPI | 1235216847 |
---|---|
Provider Name | Dr. James Harkless Duncan |
First Address | West Portsmouth, OH 45663-6365 |
Second Address | West Portsmouth, OH 45663-6365 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 11/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0335159 | (05) | OH |
0433155 | MEDICARE PTAN (01) | OH |
A75826 | (02) | OH |
P00941559 | RRMEDICARE PTAN (01) | OH |