Provider Demographics
NPI:1881665958
Name:SWEETLAND, JAMES E (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:SWEETLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10641 MOUNTAIN OAK CT
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95327-9247
Mailing Address - Country:US
Mailing Address - Phone:209-984-5550
Mailing Address - Fax:209-984-5559
Practice Address - Street 1:10641 MOUNTAIN OAK CT
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:CA
Practice Address - Zip Code:95327-9247
Practice Address - Country:US
Practice Address - Phone:209-984-5550
Practice Address - Fax:209-984-5559
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG45417207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ77315ZMedicare UPIN
CAA500238Medicare UPIN