Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 5101012280 | MI |
NPI | 1194766469 |
---|---|
Provider Name | Dr. James S. Demoss |
First Address | Kalamazoo, MI 49007-4832 |
Second Address | Kalamazoo, MI 49007-4832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 24/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0C910950 | BCBSM (01) | MI |
11/4247463 | (05) | MI |
11/4687101 | (05) | MI |
1194766469 | (05) | MI |
G77859 | (02) | MI |