Individual
SAMUEL MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 BALDWIN BLVD, SHIPPENSBURG, PA 17257-9606
(717) 552-5228
(717) 267-8316
Mailing address
153 BALDWIN BLVD, SHIPPENSBURG, PA 17257-9606
(717) 552-5228
(717) 267-8316
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
103401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103401
PA EMT NUMBER
PA
Enumeration date
02/16/2017
Last updated
02/16/2017
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