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Jeremy Forrest Gleason
Military Health Care Provider in Joint Base Pearl Harbor- Hickam, Hawaii
NPI 1063171064

Jeremy Forrest Gleason is a Military Health Care Provider based in Honolulu, HI. Jeremy Forrest Gleason practices in Joint Base Pearl Harbor- Hickam, HI. The NPI Number for Jeremy Forrest Gleason is 1063171064 and holds a License No. (Hawaii).

The current practice location address for Jeremy Forrest Gleason is 45 Worchester Ave, Joint Base Pearl Harbor- Hickam, HI and can be reached out via phone at 361-362-8275.

Location: 45 Worchester Ave, Joint Base Pearl Harbor- Hickam, HI, 96815-1624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063171064
Provider Name
Jeremy Forrest Gleason
Credential
Provider Entity Type
Individual
Gender
Male
Address
45 Worchester Ave, Joint Base Pearl Harbor- Hickam, HI, 96815-1624
Phone Number
361-362-8275
Fax Number
Provider Enumeration Date
12/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
45 Worchester Ave
City
Joint Base Pearl Harbor- Hickam
State
Hawaii
Zip
96853
Phone Number
361-362-8275
Fax Number
person
Provider Business Mailing Address Details
Address
45 Worchester Ave
City
Joint Base Pearl Harbor- Hickam
State
Hawaii
Zip
96853
Phone Number
361-362-8275
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
()
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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