Patterson, James R

Patterson, James R is an individual health care provider with primary practice located at 3102 E 138Th Ave Suite 512, Tampa FL 33613-3916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Patterson, James R can be contacted via phone (813) 979-4094.

Contact Information

Primary practice address
3102 E 138Th Ave Suite 512 Tampa FL 33613-3916
Phone: (813) 979-4094
Fax: (813) 979-1180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME0045324 Florida

Profile Details

NPI number 1285699454
LBN Legal business name Patterson, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Feb 28th, 2008 - about 17 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 1285699454 NPPES
Florida Other 4092895 AETNA
Florida Other 30747 AETNA
Florida Other 2614129 AETNA
Florida Other 212218 AETNA
Florida Other 2305236 AETNA
Florida MEDICAID 69974800 AETNA

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