| 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 |
|---|---|
| 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 |