Doctor Name: | JASON DOUGLAS SPIERS |
NPI Number: | 1306166194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPN |
License Number: | 0116973 |
Business Practice Address: | 3096 Charlotte Mill Dr Moraine, OH - 454182952 |
Business Phone Number: | 9378304800 |
Business Fax Number: | |
Mailing Address: | 3096 Charlotte Mill Dr, MORAINE |
State: | OH |
Postal Code: | 454182952 |
Phone Number: | 9378304800 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2010 |
NPI Last Update Date: | 06/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146M00000X |
License Number: | 0116973 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Intermediate |
Taxonomy Specialization: | |
Taxonomy Definition: | An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |