Provider Demographics
NPI:1629749643
Name:FINCH, STEPHEN MARK (CHIEF EMS)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:MARK
Last Name:FINCH
Suffix:
Gender:M
Credentials:CHIEF EMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 NAJOLES RD STE A
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2519
Mailing Address - Country:US
Mailing Address - Phone:443-274-2888
Mailing Address - Fax:
Practice Address - Street 1:200 BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-3580
Practice Address - Country:US
Practice Address - Phone:301-609-3403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0146497146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD406085700Medicaid
MD386BCHOtherMEDICARE