Provider Demographics
NPI:1245538362
Name:CAHILL, JAMES MAURICE JR (BCB)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MAURICE
Last Name:CAHILL
Suffix:JR
Gender:M
Credentials:BCB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:958 F AVE
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-2510
Mailing Address - Country:US
Mailing Address - Phone:760-840-0432
Mailing Address - Fax:
Practice Address - Street 1:958 F AVE
Practice Address - Street 2:
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-2510
Practice Address - Country:US
Practice Address - Phone:760-840-0432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No174400000XOther Service ProvidersSpecialist