Organization
CITY OF PLATTEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN M. ALLEN EMT-IT, EMS-I/C (EMS ADMINISTRATOR)
(608) 348-1835
Entity
Organization
Contact information
Practice address
330 WEST FURNACE STREET, PLATTEVILLE, WI 53818
(608) 348-1835
(608) 348-3686
Mailing address
75 N BONSON ST, PO BOX 780, PLATTEVILLE, WI 53818-2502
(608) 348-1835
(608) 348-3686
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
6000101
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83889
PROVIDER NUMBER
WI
Enumeration date
01/25/2007
Last updated
05/11/2012
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