Addison, James R

Addison, James R is an individual health care provider with primary practice located at 420 W Magnetic St Suite Er, Marquette MI 49855-2711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Addison, James R can be contacted via phone (888) 674-0854.

Contact Information

Primary practice address
420 W Magnetic St Suite Er Marquette MI 49855-2711
Phone: (888) 674-0854
Fax: (906) 225-3370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301040500 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301040500 Michigan

Profile Details

NPI number 1275517740
LBN Legal business name Addison, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Apr 28th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275517740 NPPES
Michigan MEDICAID 3348229
Michigan Other JA040500

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