Provider Demographics
NPI:1750556056
Name:JAMES E VOLK INC
Entity type:Organization
Organization Name:JAMES E VOLK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:VOLK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-282-3461
Mailing Address - Street 1:873 NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43912-1464
Mailing Address - Country:US
Mailing Address - Phone:740-633-3711
Mailing Address - Fax:740-633-3711
Practice Address - Street 1:873 NATIONAL RD
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:OH
Practice Address - Zip Code:43912-1464
Practice Address - Country:US
Practice Address - Phone:740-633-3711
Practice Address - Fax:740-633-3711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4058332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0704170Medicaid
OH0704170Medicaid
OHH158990Medicare PIN
OHT80606Medicare UPIN