Provider Demographics
NPI:1740391747
Name:PALMER, JAMES F (DPM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:PALMER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8857 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3654
Mailing Address - Country:US
Mailing Address - Phone:302-628-7880
Mailing Address - Fax:302-628-3791
Practice Address - Street 1:8857 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3654
Practice Address - Country:US
Practice Address - Phone:302-628-7880
Practice Address - Fax:302-628-3791
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEE10000077213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000095817Medicaid
DE0000095817Medicaid
DE901268Medicare ID - Type Unspecified