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Contact Information

JAMES W DAMMON JR, MD
1919 LAKE AVE
SUITE 102
PLYMOUTH, IN46563-7830
 Phone: 574-948-5170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAMES W DAMMON JR · (Male)

NPI Number 1942664008
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2016
Last updated 09/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01076447
Hospital affiliation(s)
  • SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH - (Acute Care)
    1915 LAKE AVE
    PLYMOUTH, IN 46563
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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