Main, James Thomas

Main, James Thomas is an individual health care provider with primary practice located at 1854 Broadway St , Cape Girardeau MO 63701-4553. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Main, James Thomas can be contacted via phone (573) 335-1402.

Contact Information

Primary practice address
1854 Broadway St Cape Girardeau MO 63701-4553
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 000500 Missouri

Profile Details

NPI number 1194703017
LBN Legal business name Main, James Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 14th, 2010 - about 14 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 1194703017 NPPES
Missouri MEDICAID 3018793000

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