Lafollette, James W.

Lafollette, James W. is an individual health care provider with primary practice located at 2605 E. Creek'S Edge Dr. , Bloomington IN 47401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lafollette, James W. can be contacted via phone (812) 332-9496.

Contact Information

Primary practice address
2605 E. Creek'S Edge Dr. Bloomington IN 47401
Phone: (812) 332-9496
Fax: (812) 339-5229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01021192A Indiana

Profile Details

NPI number 1831194828
LBN Legal business name Lafollette, James W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 26th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831194828 NPPES
Indiana MEDICAID 100182460

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