Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 33238 | WI |
N | 207XS0117X | Orthopaedic Spine Surgeon | 33238 | WI |
N | 207XS0117X | Orthopaedic Spine Surgeon | 7792214-1205 | UT |
NPI | 1235133257 |
---|---|
Provider Name | James E Cain JR. |
First Address | Glendale, WI 53212-1058 |
Second Address | Glendale, WI 53212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2005 |
Last Update Date | 18/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200017747 | RAILROAD MEDICARE (01) | |
31838000 | (05) | WI |
C49935 | (02) |