Individual
JAMES F SPLIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-0250
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-0250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01066745A
IN
207L00000X
Anesthesiology Physician
10904
ND
207L00000X
Anesthesiology Physician
Primary
58255-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000613636
ANTHEM-INDIANA
IN
05
—
11014110
—
WI
01
—
1326349135
CMH SB NPI
WI
01
—
144MR
BCBS PROVIDER NUMBER
NC
01
—
16186
PARTNERS PROVIDER NUMBER
NC
01
—
1851477913
CMH NPI
WI
01
—
1871958
UHC PROVIDER NUMBER
NC
05
—
200944960
—
IN
01
—
P00732890
RR MEDICARE
IN
Enumeration date
06/28/2006
Last updated
09/02/2014
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