Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | IN882 | IN |
NPI | 1427009877 |
---|---|
Provider Name | Dr. Jeffrey Lynn James |
First Address | Evansville, IN 47714-7513 |
Second Address | Evansville, IN 47714-7513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 04/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T-35082 | (02) | IN |