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Jim Michael Spoor, EMT
Basic Emergency Medical Technician in Ellenville, New York
NPI 1073920294

Jim Michael Spoor is a Basic Emergency Medical Technician based in Ellenville, NY. Jim Michael Spoor practices in Ellenville, NY and has the professional credentials of EMT. The NPI Number for Jim Michael Spoor is 1073920294 and holds a License No. 138125 (New York).

The current practice location address for Jim Michael Spoor is 18 Clifford St, Ellenville, NY and can be reached out via phone at 845-210-1056.

Location: 18 Clifford St, Ellenville, NY, 12428-2602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073920294
Provider Name
Jim Michael Spoor
Credential
EMT
Provider Entity Type
Individual
Gender
Male
Address
18 Clifford St, Ellenville, NY, 12428-2602
Phone Number
845-210-1056
Fax Number
Provider Enumeration Date
07/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
138152 01 NY NEW YORK STATE
institution
Provider Business Practice Location Address Details
Address
18 Clifford St
City
Ellenville
State
New York
Zip
12428-2602
Phone Number
845-210-1056
Fax Number
person
Provider Business Mailing Address Details
Address
18 Clifford St
City
Ellenville
State
New York
Zip
12428-2602
Phone Number
845-210-1056
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
138125 (New York)
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
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