Doctor Name: | DANIEL JOSEPH GRONDIN |
NPI Number: | 1568718955 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NREMT-B |
License Number: | B1623297 |
Business Practice Address: | Lyster Army Health Clinc Bldg 301 Andrews Ave Ft Rucker, AL - 363625333 |
Business Phone Number: | 3342557341 |
Business Fax Number: | 3342557368 |
Mailing Address: | Lyster Army Health Clinc, Bldg 301 Andrews Ave FT RUCKER |
State: | AL |
Postal Code: | 363625333 |
Phone Number: | 3342557341 |
Fax Number: | 3342557368 |
NPI Enumeration Date: | 08/03/2012 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | B1623297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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. |