Provider Demographics
NPI:1063449650
Name:WARE, JAMES ELDON (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ELDON
Last Name:WARE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:315 E WARWICK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-1083
Mailing Address - Country:US
Mailing Address - Phone:989-463-2333
Mailing Address - Fax:989-463-2266
Practice Address - Street 1:315 E WARWICK DR
Practice Address - Street 2:SUITE B
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1083
Practice Address - Country:US
Practice Address - Phone:989-463-2333
Practice Address - Fax:989-463-2266
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101012102207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1026076Medicaid
MI0989504OtherHEALTHPLUS COMMERCIAL
MI5180574Medicaid
MI200000012668OtherPHP COMMERCIAL
MI2052915034OtherBCBSM
MI5179878Medicaid
MI1026076Medicaid
MIP44980002Medicare PIN