Provider Demographics
NPI:1346424512
Name:PRICHARD, JAMES W JR (ORTHO TECH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:W
Last Name:PRICHARD
Suffix:JR
Gender:M
Credentials:ORTHO TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:82 NEW PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH FRANKLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06254-1807
Mailing Address - Country:US
Mailing Address - Phone:860-889-7345
Mailing Address - Fax:860-885-7214
Practice Address - Street 1:82 NEW PARK AVE
Practice Address - Street 2:
Practice Address - City:NORTH FRANKLIN
Practice Address - State:CT
Practice Address - Zip Code:06254-1807
Practice Address - Country:US
Practice Address - Phone:860-889-7345
Practice Address - Fax:860-885-7214
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman