Ingram, James R

Ingram, James R is an individual health care provider with primary practice located at 2500 Canyon Rd Ste C1 , Bullhead City AZ 86442-8493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ingram, James R can be contacted via phone (928) 444-1491.

Contact Information

Primary practice address
2500 Canyon Rd Ste C1 Bullhead City AZ 86442-8493
Phone: (928) 444-1491
Fax: (928) 444-1330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 010823 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M9369 Texas

Profile Details

NPI number 1891756011
LBN Legal business name Ingram, James R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 13th, 2024 - about 6 months 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 1891756011 NPPES
Texas MEDICAID 199871802

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