Provider Demographics
NPI:1477271765
Name:EMERY, JAMES SR
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:EMERY
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 EPPERSON ST
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-3723
Mailing Address - Country:US
Mailing Address - Phone:225-721-7390
Mailing Address - Fax:
Practice Address - Street 1:425 EPPERSON ST
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-3723
Practice Address - Country:US
Practice Address - Phone:225-721-7390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)