Individual
MR. PATRICK THOMAS JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN, ACP
Contact information
Practice address
12170 S STATE ROAD 3, MUNCIE, IN 47302-8793
(765) 372-8140
Mailing address
12170 S STATE ROAD 3, MUNCIE, IN 47302-8793
(765) 372-8140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27066251A
IN
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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