Provider Demographics
NPI:1487676052
Name:JAMES C. CULVER, M.D., P.C.
Entity Type:Organization
Organization Name:JAMES C. CULVER, M.D., P.C.
Other - Org Name:PAIN MANAGEMENT CENTER OF FLINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:CULVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-720-8900
Mailing Address - Street 1:5202 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-1040
Mailing Address - Country:US
Mailing Address - Phone:810-720-8900
Mailing Address - Fax:810-720-1417
Practice Address - Street 1:5202 MILLER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-1040
Practice Address - Country:US
Practice Address - Phone:810-720-8900
Practice Address - Fax:810-720-1417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301046268207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1787257Medicaid
MI1787257Medicaid
MIB43968Medicare UPIN