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Contact Information

JAMES T MAIN JR, DPM
1854 BROADWAY ST
CAPE GIRARDEAU, MO63701-4553
 Phone: 573-335-1402
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JAMES T MAIN JR · (Male)

NPI Number 1194703017
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/03/2006
Last updated 07/14/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 000500
  • MO Medicaid 3018793000
Hospital affiliation(s) Not Available
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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