Thacker, James Dewey

Thacker, James Dewey is an sole proprietor health care provider with primary practice located at 185 Chateau Drive Suite 302, Huntsville AL 35801-6012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Thacker, James Dewey can be contacted via phone (256) 885-1605.

Contact Information

Primary practice address
185 Chateau Drive Suite 302 Huntsville AL 35801-6012
Fax: (256) 885-1905
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 40660 Colorado
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X AL 13577 Alabama

Profile Details

NPI number 1962564476
LBN Legal business name Thacker, James Dewey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Feb 16th, 2023 - about last year

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 1962564476 NPPES
Alabama Other 511-22515 BLUE CROSS

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