Mr James Arthur Blane Iv, ORTH TECH, LPN | |
1481 W 10th St, Prosthetics 121, Indianapolis, IN 46202-2803 | |
(317) 988-4198 | |
(317) 988-4835 |
Full Name | Mr James Arthur Blane Iv |
---|---|
Gender | Male |
Speciality | Orthotic Fitter |
Location | 1481 W 10th St, Indianapolis, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649425299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 27014616A (Indiana) | Secondary |
225000000X | Orthotic Fitter | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Mr James Arthur Blane Iv, ORTH TECH, LPN 1481 W 10th St, Prosthetics 121, Indianapolis, IN 46202-2803 Ph: (317) 988-4198 | Mr James Arthur Blane Iv, ORTH TECH, LPN 1481 W 10th St, Prosthetics 121, Indianapolis, IN 46202-2803 Ph: (317) 988-4198 |