Provider Demographics
NPI:1770618274
Name:GERMANN, JAMES MITCHELL (ASSISTANT DIRECTOR C)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MITCHELL
Last Name:GERMANN
Suffix:
Gender:M
Credentials:ASSISTANT DIRECTOR C
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Mailing Address - Street 1:1102 LAKEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:MO
Mailing Address - Zip Code:64633
Mailing Address - Country:US
Mailing Address - Phone:660-542-8707
Mailing Address - Fax:660-542-8707
Practice Address - Street 1:1102 LAKEVIEW CT
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:MO
Practice Address - Zip Code:64633
Practice Address - Country:US
Practice Address - Phone:660-542-8707
Practice Address - Fax:660-542-8707
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant