Individual
JAMES WORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5510 S EAST ST, BLDG A, SUITE B, INDIANAPOLIS, IN 46227-1938
(317) 735-1525
Mailing address
5510 S EAST ST, BLDG A, SUITE B, INDIANAPOLIS, IN 46227-1938
(317) 735-1525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001368A
IN
363A00000X
Physician Assistant
5601004453
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01212112
RR MEDICARE PTAN
IN
Enumeration date
10/23/2006
Last updated
03/06/2014
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