Individual
DR. JAMES N DREISBACH
Active
Individual
DR. JAMES N DREISBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20148
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01201482
—
CO
01
—
02249241
NY MEDICAID
NY
01
—
053213701
TX MEDICAID
TX
05
—
10025709000
—
NE
01
—
104686089
MI MEDICAID
MI
01
—
117172100
WY MEDICAID
WY
05
—
1235115254
—
MT
01
—
18155235
NM MEDICAID
NM
01
—
200364610
IN MEDICAID
IN
01
—
200417090A
KS MEDICAID
KS
01
—
424458
AZ MEDICAID
AZ
01
—
64049026
KY MEDICAID
KY
05
—
84-059792913
—
NE
01
—
940000060
RR MCRE RIA
CO
01
—
940000105
RR MCRE MIC
CO
01
—
CO305739
MEDICARE TRAILBAZER RIN
NE
01
—
XPY203373
CA MEDICAID
CA
Enumeration date
12/21/2005
Last updated
03/29/2010
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