Provider Demographics
NPI:1710906458
Name:MIDDLETON, JAMES M (CP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:MIDDLETON
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
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Mailing Address - Street 1:1139 N 27TH ST STE C2
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0107
Mailing Address - Country:US
Mailing Address - Phone:406-252-6100
Mailing Address - Fax:406-252-4276
Practice Address - Street 1:1139 N 27TH ST
Practice Address - Street 2:SUITE SB2
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0117
Practice Address - Country:US
Practice Address - Phone:406-252-6100
Practice Address - Fax:406-252-4276
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
204925594OtherEIN