Builteman, James Leroy

Builteman, James Leroy is an individual health care provider with primary practice located at 400 Health Park Blvd Attn: Radiology Department, Saint Augustine FL 32086-5784. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Builteman, James Leroy can be contacted via phone (904) 819-4398.

Contact Information

Primary practice address
400 Health Park Blvd Attn: Radiology Department Saint Augustine FL 32086-5784
Phone: (904) 819-4398
Fax: (904) 819-4976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME95145 Florida
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME95145 Florida

Profile Details

NPI number 1841267648
LBN Legal business name Builteman, James Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jun 4th, 2012 - about 12 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 1841267648 NPPES
Florida MEDICAID 277959500
Florida Other P00688760

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