Provider Demographics
NPI:1568676971
Name:BUSKIRK, JAMES ROLLIN (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROLLIN
Last Name:BUSKIRK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1687 114TH AVE SE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6964
Mailing Address - Country:US
Mailing Address - Phone:425-453-1115
Mailing Address - Fax:425-455-0848
Practice Address - Street 1:1687 114TH AVE SE
Practice Address - Street 2:SUITE 125
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6964
Practice Address - Country:US
Practice Address - Phone:425-453-1115
Practice Address - Fax:425-455-0848
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA000358502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB15870Medicare ID - Type Unspecified