Srp, James S

Srp, James S is an individual health care provider with primary practice located at 25010 Chagrin Blvd Ste 100 , Beachwood OH 44122. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is his primary health care specialty. Srp, James S can be contacted via phone (216) 468-5000.

Contact Information

Primary practice address
25010 Chagrin Blvd Ste 100 Beachwood OH 44122
Phone: (216) 468-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN203695 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X RN203695 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X APRN.CNP.08037 Ohio

Profile Details

NPI number 1861406456
LBN Legal business name Srp, James S
Credentials CNS, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated May 17th, 2023 - about 3 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 1861406456 NPPES
Ohio Other 364039 WELLCARE MEDICAID
Ohio Other 000000224400 WELLCARE MEDICAID
Ohio MEDICAID 2834866 WELLCARE MEDICAID
Ohio Other 7942656 WELLCARE MEDICAID
Ohio Other 000000533028 WELLCARE MEDICAID

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