Basic Information
Provider Information
NPI: 1902211410
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: INGLISH
FirstName: STEVE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: JAMESTOWN REGIONAL MEDICAL CENTER
Address2: 2422 20TH ST SW
City: JAMESTOWN
State: ND
PostalCode: 58401
CountryCode: US
TelephoneNumber: 7019521050
FaxNumber:  
Practice Location
Address1: JAMESTOWN REGIONAL MEDICAL CENTER
Address2: 2422 20TH ST SW
City: JAMESTOWN
State: ND
PostalCode: 58401
CountryCode: US
TelephoneNumber: 7015307000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/23/2014
LastUpdateDate: 12/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/09/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X7281NEY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X14545NDN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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