person
Benjamin Scott Mcenulty
Student in an Organized Health Care Education/Training Program in Pocatello, Idaho
NPI 1275215642

Benjamin Scott Mcenulty is a Student in an Organized Health Care Education/Training Program based in Pocatello, ID. Benjamin Scott Mcenulty practices in Pocatello, ID. The NPI Number for Benjamin Scott Mcenulty is 1275215642 and holds a License No. P36978 (Idaho).

The current practice location address for Benjamin Scott Mcenulty is 921 S 8Th Ave Stop 8253, Pocatello, ID and can be reached out via phone at 208-282-4726. You can also correspond with Benjamin Scott Mcenulty through the mailing address at 921 S 8TH AVE STOP 8253, POCATELLO, ID - 83209-0002 (mailing address contact number: 208-282-4726).

Location: 921 S 8Th Ave Stop 8253, Pocatello, ID, 83209-0002
person
Provider Profile Details
NPI Number
1275215642
Provider Name
Benjamin Scott Mcenulty
Credential
Provider Entity Type
Individual
Gender
Male
Address
921 S 8Th Ave Stop 8253, Pocatello, ID, 83209-0002
Phone Number
208-282-4726
Fax Number
Provider Enumeration Date
08/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
921 S 8Th Ave Stop 8253
City
State
Zip
83209-0002
Phone Number
208-282-4726
Fax Number
person
Provider Business Mailing Address Details
Address
921 S 8Th Ave Stop 8253
City
State
Zip
83209-0002
Phone Number
208-282-4726
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Paramedic
Speciality
-
Taxonomy
License No.
()
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
P36978 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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