Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1164785010 |
---|---|
Provider Name | Dr. James Lewis Bilskie JR. |
First Address | Vincennes, IN 47591-4929 |
Second Address | Vincennes, IN 47591-4929 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2012 |
Last Update Date | 15/03/2013 |