Provider Demographics
NPI:1124160866
Name:KIRSCH, JAMES B (POLYGRAPH EXAMINER)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:KIRSCH
Suffix:
Gender:M
Credentials:POLYGRAPH EXAMINER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:NASELLE
Mailing Address - State:WA
Mailing Address - Zip Code:98638-0459
Mailing Address - Country:US
Mailing Address - Phone:360-484-7789
Mailing Address - Fax:
Practice Address - Street 1:1390 HWY 401
Practice Address - Street 2:
Practice Address - City:NASELLE
Practice Address - State:WA
Practice Address - Zip Code:98638-0459
Practice Address - Country:US
Practice Address - Phone:360-484-7789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR063174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist