Healthcare Provider Details

I. General information

NPI: 1629749643
Provider Name (Legal Business Name): STEPHEN MARK FINCH CHIEF EMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 09/27/2021
Certification Date: 09/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BALTIMORE ST
LA PLATA MD
20646-3580
US

IV. Provider business mailing address

251 NAJOLES RD STE A
MILLERSVILLE MD
21108-2519
US

V. Phone/Fax

Practice location:
  • Phone: 301-609-3403
  • Fax:
Mailing address:
  • Phone: 443-274-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number0146497
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: