Zachary Thomas Fennell EMT BASIC

NPI 1588922108 - Emergency Medical Technician, Basic - 146N00000X

NPI Details
NPI 1588922108
Gender Male
Enumeration Date 05/02/2012
Last Updated 05/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
BUILDING 301, ANDREWS AVE.
LYSTER ARMY HEALTH CLINIC
FORT RUCKER AL, 36362-5333, US
Phone (334) 255-7341
Fax
Business Location
BUILDING 301, ANDREWS AVE.
LYSTER ARMY HEALTH CLINIC
FORT RUCKER AL, 36362-5333, US
Phone (334) 255-7341
Fax
Toxanomy
Taxonomy Code 146N00000X
License State Texas
License Number B1918437
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According to our database, Mr. Zachary Thomas Fennell EMT BASIC NPI is 1588922108, taxonomy code is 146N00000X and license number is B1918437, license state is located at Texas. Zachary Thomas Fennell EMT BASIC physically located at Building 301, Andrews Ave., Fort Rucker AL, 36362-5333. NPI Number Zachary Thomas Fennell EMT BASIC has the Individual type.

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1588922108 NPI number is provided on an as is basis without warranty of any kind. 1588922108 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Thomas Fennell EMT BASIC are for informational purposes only.