Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 4301090602 | MI |
Y | 207RC0200X | Critical Care Medicine | 35093364 | OH |
NPI | 1043417652 |
---|---|
Provider Name | James Joseph Case |
First Address | Toledo, OH 43604-1558 |
Second Address | Toledo, OH 43606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 23/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3091854 | (05) | OH |