Provider Demographics
NPI:1093765331
Name:BABEL, JAMES BAILEY (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BAILEY
Last Name:BABEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1717 SHAFFER ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-1647
Mailing Address - Country:US
Mailing Address - Phone:269-343-9113
Mailing Address - Fax:269-343-0510
Practice Address - Street 1:1717 SHAFFER ST
Practice Address - Street 2:SUITE 108
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-1647
Practice Address - Country:US
Practice Address - Phone:269-343-9113
Practice Address - Fax:269-343-0510
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301047128208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1558245Medicaid
MI0203907032OtherBCBSM
MI0C97625113Medicare PIN
B47155Medicare UPIN
MI0203907032OtherBCBSM