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Individual

DR. JAMES JOSEPH SINNOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4501
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4501

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14079
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407812365
NBMC GROUP NPI NUMBER
OR
05
221028
OR
01
930635514
GROUP TAX ID FOR BILLING
OR
01
CB3544
RR MEDICARE GROUP NUMBER
OR
01
P00209478
RR MEDICARE PTAN NUMBER
OR
01
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
12/16/2005
Last updated
03/21/2014
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