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Individual

MR. JEFFREY WADE ONGEMACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS, CG IDHS, NREMT-I

Contact information

Practice address
COMDT CG-1122 U S COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(202) 267-0801
Mailing address
COMDT CG-1122 U S COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
NREMT-I0682827
OH
1710I1003X
Independent Duty Medical Technicians
Primary
247200000X
Other Technician

Other

Enumeration date
02/20/2007
Last updated
02/15/2013
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