Provider Demographics
NPI:1699949677
Name:SIMPSON, JAMES A
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:SIMPSON
Suffix:
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 1:23065 SAMS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LIGNUM
Mailing Address - State:VA
Mailing Address - Zip Code:22726-2060
Mailing Address - Country:US
Mailing Address - Phone:540-219-7793
Mailing Address - Fax:
Practice Address - Street 1:23065 SAMS RIDGE RD
Practice Address - Street 2:
Practice Address - City:LIGNUM
Practice Address - State:VA
Practice Address - Zip Code:22726-2060
Practice Address - Country:US
Practice Address - Phone:540-219-7793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-21
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705096948171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications