Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 4301046133 | MI |
NPI | 1164436671 |
---|---|
Provider Name | James Barry Nolin |
First Address | Richland, MI 49083-9361 |
Second Address | Richland, MI 49083-9361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 06/07/2016 |