Provider Demographics
NPI:1437177607
Name:HUTCHINSON, JAMES EMLEN I (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EMLEN
Last Name:HUTCHINSON
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 IRONSHIP PLZ
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-2014
Mailing Address - Country:US
Mailing Address - Phone:415-732-7755
Mailing Address - Fax:415-732-7966
Practice Address - Street 1:54 IRONSHIP PLZ
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-2014
Practice Address - Country:US
Practice Address - Phone:415-732-7755
Practice Address - Fax:415-732-7966
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC506022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
D25031Medicare UPIN