Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 01019833A | IN |
NPI | 1184623191 |
---|---|
Provider Name | James W Strickland |
First Address | Indianapolis, IN 46237-6340 |
Second Address | Indianapolis, IN 46237-6340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 10/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000608670 | ANTHEM BCBS (01) | IN |
100144700 | (05) | IN |
D94498 | (02) | IN |