Provider Demographics
NPI:1548000839
Name:IJOMA, JAMES E (CSP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:IJOMA
Suffix:
Gender:M
Credentials:CSP
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:917 STONE CROSSING ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-2458
Mailing Address - Country:US
Mailing Address - Phone:330-338-7899
Mailing Address - Fax:
Practice Address - Street 1:917 STONE CROSSING ST NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721-2458
Practice Address - Country:US
Practice Address - Phone:330-338-7899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-25
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH001A4YS343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)