Richard Moris Ingle
Family Doctor Obstetrician
914 Pine St
Mount Shasta
, California 96067-2143
Richard Moris Ingle
Family Doctor Obstetrician
914 Pine St
Mount Shasta
, California 96067-2143
(530) 926-7134
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About
Features
Specialties
- Family Doctor
- Obstetrician
Languages spoken
- English
Location
First Address
- Richard Moris Ingle
- Po Box 292
- Mount Shasta, CA
- Zip : 96067-0292
- Fax : (530) 926-7134
- Phone : (775) 304-7237
Second Address
- Richard Moris Ingle
- 914 Pine St
- Mount Shasta, CA
- Zip : 96067-2143
- Fax : (530) 926-7134
- Phone : (775) 304-7237
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MD00030667 | WA |
| Y | 207VX0000X | Obstetrician | G59041 | CA |
National Provider Identifier
| NPI | 1164523072 |
|---|---|
| Provider Name | Richard Moris Ingle |
| First Address | Mount Shasta, CA 96067-0292 |
| Second Address | Mount Shasta, CA 96067-2143 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1164523072 | (05) | CA |
| CA236280 | MEDICARE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.