Provider Demographics
NPI:1912473067
Name:ROSSER, JAMES A JR
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:ROSSER
Suffix:JR
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 1:102 COLLINGSWOOD CT
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-1442
Mailing Address - Country:US
Mailing Address - Phone:434-385-8856
Mailing Address - Fax:
Practice Address - Street 1:102 COLLINGSWOOD CT
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-1442
Practice Address - Country:US
Practice Address - Phone:434-385-8856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT60487707347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle