Doctor Name: | WILLIAM SCOTT BREEZE |
NPI Number: | 1023122884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC |
License Number: | 3359P |
Business Practice Address: | 3194 Bridlerun Dr Independence, KY - 410516888 |
Business Phone Number: | 8593564859 |
Business Fax Number: | |
Mailing Address: | 3194 Bridlerun Dr, INDEPENDENCE |
State: | KY |
Postal Code: | 410516888 |
Phone Number: | 8593564859 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146L00000X |
License Number: | 3359P |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | KY |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Paramedic |
Taxonomy Specialization: | |
Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |