Provider Demographics
NPI:1417783002
Name:SYMENSKI, JAMES ALLEN JR
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLEN
Last Name:SYMENSKI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-3747
Mailing Address - Country:US
Mailing Address - Phone:304-825-8775
Mailing Address - Fax:
Practice Address - Street 1:814 CLINTON ST
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-3747
Practice Address - Country:US
Practice Address - Phone:304-825-8775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant