Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME125083 | FL |
Y | 208600000X | Surgeon | ME125083 | FL |
NPI | 1013987817 |
---|---|
Provider Name | John T English |
First Address | Belfast, ME 04915-4004 |
Second Address | Naples, FL 34119-3900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 29/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A72266 | (02) |