=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760654339
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JAMES C. HINSHAW MD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/24/2008
-----------------------------------------------------
Last Update Date | 03/24/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1232 N 30TH ST SUITE 320
-----------------------------------------------------
City | BILLINGS
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59101-0139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-237-5700
-----------------------------------------------------
Fax | 406-237-5710
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1232 N 30TH ST SUITE 320
-----------------------------------------------------
City | BILLINGS
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59101-0139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-237-5700
-----------------------------------------------------
Fax | 406-237-5710
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE PROPRIETOR
-----------------------------------------------------
Name | DR. JAMES CHADWICK HINSHAW
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 406-237-5700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 6239
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------