Provider Demographics
NPI:1013369370
Name:CHERRY, JAMES E JR (MA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:CHERRY
Suffix:JR
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 BAUSS CT
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-4072
Mailing Address - Country:US
Mailing Address - Phone:989-859-1077
Mailing Address - Fax:
Practice Address - Street 1:1700 BAUSS CT
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-4072
Practice Address - Country:US
Practice Address - Phone:989-859-1077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other