Individual
MR. JAMES ARTHUR BLANE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ORTH. TECH, L.P.N.
Contact information
Practice address
1481 W 10TH ST, PROSTHETICS 121, INDIANAPOLIS, IN 46202-2803
(317) 988-4198
(317) 988-4835
Mailing address
1481 W 10TH ST, PROSTHETICS 121, INDIANAPOLIS, IN 46202-2803
(317) 988-4198
(317) 988-4835
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
27014616A
IN
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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