Provider Demographics
NPI:1013956911
Name:FRUM, JAMES P (MS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:FRUM
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MEDICAL PARK
Mailing Address - Street 2:TOWER 3, SUITE 223
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3660
Mailing Address - Country:US
Mailing Address - Phone:304-243-7879
Mailing Address - Fax:304-243-3901
Practice Address - Street 1:30 MEDICAL PARK
Practice Address - Street 2:TOWER 3, SUITE 223
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3660
Practice Address - Country:US
Practice Address - Phone:304-243-7879
Practice Address - Fax:304-243-3901
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA0017231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
5503570579J28OtherANTHEM BCBS
0309500IOtherHEALTH PLAN OF UPPER OH V
WV55035705705OtherWV COMPENSATION
000286680OtherMOUNTAIN STATE BCBS
WV0160701000Medicaid
7248421Medicare ID - Type Unspecified
WV0160701000Medicaid