Basic Information
| Provider Information | |||||||||
| NPI: | 1225220296 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JAMES W SWEENEY DO PC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13355 E TEN MILE RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | WARREN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48089 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5867572800 | ||||||||
| FaxNumber: | 5867573942 | ||||||||
| Practice Location | |||||||||
| Address1: | 13355 E 10 MILE RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | WARREN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480892048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5867572800 | ||||||||
| FaxNumber: | 5867573942 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2007 | ||||||||
| LastUpdateDate: | 04/30/2010 | ||||||||
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| AuthorizedOfficialLastName: | SWEENEY | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | W | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5867572800 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.