Individual
JAMES C PICKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8733 W 400 N, MICHIGAN CITY, IN 46360-9330
(219) 861-8740
(219) 877-1029
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01045020A
IN
207R00000X
Internal Medicine Physician
01045020S
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079441
ANTHEM, BCBS
IN
05
—
200132500
—
IN
Enumeration date
06/29/2006
Last updated
05/01/2023
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