Individual
JAMES D NACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
467
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M249NA
BCBA
MN
01
—
115548
UCARE
MN
01
—
2700675
MEDICA
MN
05
—
334225500
—
MN
01
—
41084933956001C040
CHAMPUS
—
01
—
480018348
RR MEDICARE
—
01
—
766559
AMERICAS PPO
MN
05
—
938225
—
IA
01
—
HP26034
HEALTH PARTNERS
MN
01
—
NA2951014382
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/15/2020
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