Provider Demographics
NPI:1205441581
Name:STOLZ, JAMES A
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:STOLZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2762 HERMAN RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-9533
Mailing Address - Country:US
Mailing Address - Phone:513-259-5955
Mailing Address - Fax:
Practice Address - Street 1:2762 HERMAN RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-9533
Practice Address - Country:US
Practice Address - Phone:513-259-5955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-13
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker