National Provider Identifier Database

RYAN M WALLACE, HEALTH SERVICES TECH – NPI #1003891920
Emergency Medical Technician, Basic

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.


Contact Information

RYAN M WALLACE, HEALTH SERVICES TECH
5201 LEE RD
BUZZARDS BAY, MA02542-1313
Phone: 508-968-6572
Fax: 508-968-6581
Website:
Specialty Taxonomy Code
* Emergency Medical Technician, Basic 146N00000X

* Indicates primary specialty

NPI Profile & details for RYAN M WALLACE

NPI Number 1003891920
Credentials HEALTH SERVICES TECH
Entity Individual
Enumeration date 12/14/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: B1552861
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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