Prommersberger, James Edwin

Prommersberger, James Edwin is an sole proprietor health care provider with primary practice located at 940 Windham Ct Suite #3, Boardman OH 44512-5060. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Prommersberger, James Edwin can be contacted via phone (330) 726-3348.

Contact Information

Primary practice address
940 Windham Ct Suite #3 Boardman OH 44512-5060
Phone: (330) 726-3348
Fax: (330) 726-3856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00-2619 Ohio
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36-00-2619 Ohio

Profile Details

NPI number 1073584686
LBN Legal business name Prommersberger, James Edwin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Jun 2nd, 2008 - about 16 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 1073584686 NPPES
Ohio MEDICAID 0774194
Ohio Other 000000177949
Ohio Other P00199462
Ohio Other 000601363
Ohio Other 0099572000

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