Provider Demographics
NPI:1518053495
Name:HUISH, JAMES FRANKLIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANKLIN
Last Name:HUISH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WEST OLIVE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348
Mailing Address - Country:US
Mailing Address - Phone:209-384-3668
Mailing Address - Fax:209-384-3264
Practice Address - Street 1:700 WEST OLIVE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348
Practice Address - Country:US
Practice Address - Phone:209-384-3668
Practice Address - Fax:209-384-3264
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2699213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E26990Medicaid
CA000E26990Medicare PIN
CA000E26990Medicaid
T11444Medicare UPIN