| James A M Sales Md Sc | |
|
2508 25th St Rock Island IL 61201-5419 | |
| (309) 786-0600 | |
| (309) 786-8352 |
| Full Name | James A M Sales Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2508 25th St, Rock Island, Illinois |
| Authorized Official Name and Position | James Am Sales (PRESIDENT) |
| Authorized Official Contact | 3097860600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James A M Sales Md Sc 2508 25th St Rock Island IL 61201-5419 Ph: (309) 786-0600 | James A M Sales Md Sc 2508 25th St Rock Island IL 61201-5419 Ph: (309) 786-0600 |
| NPI Number | 1164401725 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 01/07/2015 |
| Medicare PECOS PAC ID | 6608842869 |
|---|---|
| Medicare Enrollment ID | O20040908001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164401725 | NPI | - | NPPES |
| 036097267 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 036097267 (Indiana) | Primary |
| Provider Name | James Anthony M Sales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902885569 PECOS PAC ID: 2860468022 Enrollment ID: I20040908001476 |
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