Mr James Charles Soukup Jr, LMT is a
Massage Therapist based in Aurora, Indiana. Mr James Charles Soukup Jr is licensed to practice in Indiana (license number MT21204228) and his current practice location is
310 4th St, Aurora, Indiana. He can be reached at his office (for appointments etc.) via phone at
(812) 560-8697.
NPI number for Mr James Charles Soukup Jr is 1720625155 and his current mailing address is 310 4th St, Aurora, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720625155.
Healthcare Provider's Profile
Full Name | Mr James Charles Soukup Jr |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 310 4th St, Aurora, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720625155
- Provider Enumeration Date: 12/04/2019
- Last Update Date: 12/04/2019
Medical Identifiers
Medical identifiers for Mr James Charles Soukup Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720625155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT21204228 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr James Charles Soukup Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr James Charles Soukup Jr, LMT 310 4th St, Aurora, IN 47001-1206 Ph: (812) 560-8697 | Mr James Charles Soukup Jr, LMT 310 4th St, Aurora, IN 47001-1206 Ph: (812) 560-8697 |
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