Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | MD170999 | OR |
N | 207RA0201X | Internist - Allergy & Immunology | MD5594 | HI |
NPI | 1760429781 |
---|---|
Provider Name | James M Sweet |
First Address | Salem, OR 97302-2541 |
Second Address | Salem, OR 97302-2541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 18/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
031283-01 | (05) | HI |
201472000 | OWCP ID (01) | HI |
A3471-8 | HMSA ID (01) | HI |
A53365 | (02) | HI |