Doctor Name: | MR. LEE VERNON ELTON |
NPI Number: | 1811104334 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EMS-IV |
License Number: | 1164569 |
Business Practice Address: | 1 Colville Streets Nespelem, WA - 99155 |
Business Phone Number: | 5096342727 |
Business Fax Number: | 5096342781 |
Mailing Address: | 1 Colville Streets, NESPELEM |
State: | WA |
Postal Code: | 99155 |
Phone Number: | 5096342727 |
Fax Number: | 5096342781 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146M00000X |
License Number: | 1164569 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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. |