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Individual

JAMES ROBERT TOOTHMAN

Active
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Individual

JAMES ROBERT TOOTHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
1441
WV
207R00000X
Internal Medicine Physician
Primary
1441
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000712231
BCBS INDIVIDUAL
WV
05
0045606000
WV
01
023206600
FEDERAL BLACK LUNG
WV
01
110135471
RAILROAD MEDICARE
WV
05
2047636
OH
01
550737998
WV WORKERS COMP
WV
Enumeration date
05/18/2006
Last updated
11/08/2024
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