Provider Demographics
NPI:1598482606
Name:VENABLES, JAMES RICHARD
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:VENABLES
Suffix:
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 1:3311 12TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-3909
Mailing Address - Country:US
Mailing Address - Phone:330-415-0630
Mailing Address - Fax:
Practice Address - Street 1:3311 12TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-3909
Practice Address - Country:US
Practice Address - Phone:330-415-0630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist