Provider Demographics
NPI:1255015046
Name:MCNAIR, JAMES TOSIN
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:TOSIN
Last Name:MCNAIR
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 1:1426 SAINT CHRISTOPHER CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-3806
Mailing Address - Country:US
Mailing Address - Phone:667-206-0823
Mailing Address - Fax:
Practice Address - Street 1:1426 SAINT CHRISTOPHER CT
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-3806
Practice Address - Country:US
Practice Address - Phone:443-596-7283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRSA-01194376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide