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NPI Profile for JACKIE L CHEATHAM in CALICO ROCK, AR.
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Technician, Basic |
146N00000X |
| NPI Number | 1225348980 |
|
| Status | Active | |
| Credentials | EMT | |
| Entity | Individual | |
| Enumeration date | 10/15/2010 | |
| Last updated | 10/15/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JACKIE L CHEATHAM
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JACKIE L CHEATHAM, EMT