Individual
MR. JASON P CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS, NREMT
Contact information
Practice address
2100 2ND ST SW, RM 5314, WASHINGTON, DC 20593-0002
(202) 475-5167
Mailing address
2100 2ND ST SW, RM 5314, WASHINGTON, DC 20593-0002
(202) 475-5167
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B121777
OH
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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