Provider Demographics
NPI:1801261706
Name:VOLZ, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:VOLZ
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 1:1866 W NEW HOPE RD
Mailing Address - Street 2:
Mailing Address - City:BOONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47601-9373
Mailing Address - Country:US
Mailing Address - Phone:812-897-2645
Mailing Address - Fax:
Practice Address - Street 1:1866 W NEW HOPE RD
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47601-9373
Practice Address - Country:US
Practice Address - Phone:812-897-2645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer