Charles Conrad Redeker in Jacksonville - Emergency Medical Technician, Basic
Charles Conrad Redeker - NPI 1831219674
Charles Conrad Redeker is a Emergency Medical Technician, Basic in Jacksonville, North Carolina. Charles Conrad Redeker practices all healthcare services and medical treatments related to Emergency Medical Technician, Basic. The NPI Number for Charles Conrad Redeker is 1831219674. The last update date is 2007-09-25.
Charles Conrad Redeker's current location address is 325 Western Blvd, Jacksonville, North Carolina. You can contact this provider via phone number 9105771555 and fax number 9105771841. The mailing address for Charles Conrad Redeker is 325 Western Blvd, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Conrad Redeker |
|---|---|
| Address | 325 Western Blvd, Jacksonville, North Carolina |
| Phone Number | 9105771555 |
| Fax Number | 9105771841 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831219674 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 325 Western Blvd |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285466341 |
| Phone Number | 9105771555 |
| Fax Number | 9105771841 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Technician, Basic |
|---|---|
| Taxonomy | 146N00000X |
| Licence No | 9300293 |
|
Definition: A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 891074V | NC | -- | |
| 1088E | NC | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles Conrad Redeker?
The Charles Conrad Redeker has been issued the NPI (National Provider Identifier) 1831219674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Charles Conrad Redeker's physical address?
The Charles Conrad Redeker is physically located at 325 Western Blvd, in the city of Jacksonville, NC, with the postal code 285466341.
What is the Charles Conrad Redeker's area of specialization and corresponding taxonomy classification?
The Charles Conrad Redeker's specialty field is Emergency Medical Technician, Basic, and it falls under the taxonomy code 146N00000X, which categorizes healthcare providers based on their specialties.
On what date did Charles Conrad Redeker receive its 1831219674 assignment from the Centers for Medicare & Medicaid Services?
The Charles Conrad Redeker was assigned its 1831219674 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Charles Conrad Redeker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Conrad Redeker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-25.
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