Mr. Max Koivisto, NRAEMT
Emergency Medical Technician, Intermediate in Becket, Massachusetts
1194507772- Practice location
- 629 Jacobs Ladder Road, Becket, MA 01223
- Phone
- 413-623-5027
- Fax
- 413-623-2062
- Last updated
- October 18, 2023
Max Koivisto is an Emergency Medical Technician, Intermediate based in Becket, MA. Max Koivisto practices in Becket, MA and has the professional credentials of NRAEMT. The NPI Number for Max Koivisto is 1194507772 and holds a License No. A0900516 (MA). The current practice location address for Max Koivisto is 629 Jacobs Ladder Road, Becket, MA 01223 and can be reached out via phone at 413-623-5027 and via fax at 413-623-2062.
Provider Profile Details
- NPI Number
- 1194507772
- Provider Name
- Max Koivisto
- Credential
- NRAEMT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 629 Jacobs Ladder Road, Becket, MA 01223
- Phone Number
- 413-623-5027
- Fax Number
- 413-623-2062
- Primary Taxonomy
- Emergency Medical Technician, Intermediate · 146M00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 18, 2023
- Last Update Date
- October 18, 2023
- Certification Date
- October 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 629 Jacobs Ladder Road
Becket, MA 01223 - City
- Becket
- State
- Massachusetts
- Zip
- 01223
- Phone Number
- 413-623-5027
- Fax Number
- 413-623-2062
Provider Business Mailing Address Details
- Address
- 557 Main St
Becket, MA 01223-3252 - City
- Becket
- State
- MA
- Zip
- 01223-3252
- Phone Number
- 413-623-5027
- Fax Number
- 413-623-2062
License Information
- License Number
- A0900516
- License State
- MA
- Taxonomy
- Emergency Medical Technician, Intermediate · 146M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Max Koivisto, NRAEMT?
The NPI number of Mr. Max Koivisto, NRAEMT is 1194507772. It was assigned on October 18, 2023 and is currently active in the NPPES registry.
What is the specialty of Mr. Max Koivisto, NRAEMT?
Mr. Max Koivisto, NRAEMT is registered under the primary taxonomy Emergency Medical Technician, Intermediate (code 146M00000X), licensed in MA under license number A0900516.
Where does Mr. Max Koivisto, NRAEMT practice?
The practice location is 629 Jacobs Ladder Road, Becket, MA 01223. The office can be reached at 413-623-5027 (phone) or 413-623-2062 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194507772 directly on the NPPES registry website.