Doctor Name: | JAMES SCHROCK |
NPI Number: | 1033329446 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 33690 Emory Rd Ronan, MT - 598649020 |
Business Phone Number: | 4066752054 |
Business Fax Number: | 4066752055 |
Mailing Address: | Po Box 139, RONAN |
State: | MT |
Postal Code: | 598640139 |
Phone Number: | 4066752054 |
Fax Number: | 4066752055 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |