Provider Demographics
NPI:1669276564
Name:SMITH, JAMES HENRY
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:HENRY
Last Name:SMITH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 MINMOR DR
Mailing Address - Street 2:
Mailing Address - City:SAINT BERNARD
Mailing Address - State:OH
Mailing Address - Zip Code:45217-1822
Mailing Address - Country:US
Mailing Address - Phone:513-301-8409
Mailing Address - Fax:
Practice Address - Street 1:4224 MINMOR DR
Practice Address - Street 2:
Practice Address - City:SAINT BERNARD
Practice Address - State:OH
Practice Address - Zip Code:45217-1822
Practice Address - Country:US
Practice Address - Phone:513-301-8409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH321774490997251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care