Doctor Name: | MRS. ALYCIA M OWENS |
NPI Number: | 1083011183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | E1951798 |
Business Practice Address: | 756 Scott Dr Whiteman Afb, MO - 653051304 |
Business Phone Number: | 6606873401 |
Business Fax Number: | |
Mailing Address: | 756 Scott Dr, WHITEMAN AFB |
State: | MO |
Postal Code: | 653051304 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/04/2014 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | E1951798 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Basic |
Taxonomy Specialization: | |
Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |