Provider Demographics
NPI:1629653779
Name:FOS, JAMES CASEY (JD, LLM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CASEY
Last Name:FOS
Suffix:
Gender:M
Credentials:JD, LLM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 GEORGIA AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-3866
Mailing Address - Country:US
Mailing Address - Phone:985-732-6610
Mailing Address - Fax:985-732-6626
Practice Address - Street 1:400 GEORGIA AVE STE 1
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3866
Practice Address - Country:US
Practice Address - Phone:985-732-6610
Practice Address - Fax:985-732-6626
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist