Individual
JAMES L DELINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 MCKAY ST, MACON, MO 63552-2029
(660) 385-3141
(660) 385-5866
Mailing address
307 MCKAY ST, MACON, MO 63552-2029
(660) 385-3141
(660) 385-5866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36425
MO
207Q00000X
Family Medicine Physician
Primary
MD 36425
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010012805
RAILROAD MEDICARE
—
01
—
11794
BLUE CROSS
MO
05
—
1930156
—
IA
01
—
193025
THE FUNDS
—
05
—
202144804
—
MO
01
—
252291
HEALTHLINK HMO AND PPO
—
01
—
431671124DEL
MERCY HEALTH PLANS
MO
01
—
54535
UNITED HEALTHCARE
—
01
—
930078535
RAILROAD MEDICARE
—
Enumeration date
05/24/2005
Last updated
11/13/2015
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