Basic Information
| Provider Information | |||||||||
| NPI: | 1467545418 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WHEELER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 115 W SILVER ST | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | WESTFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010853678 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136427200 | ||||||||
| FaxNumber: | 4135621821 | ||||||||
| Practice Location | |||||||||
| Address1: | 57 UNION ST | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | WESTFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010852658 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136427200 | ||||||||
| FaxNumber: | 4135621821 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2006 | ||||||||
| LastUpdateDate: | 05/23/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 002254 | CT | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | 363AM0700X | PA1319 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.