Austin Theodore Mahoney, EMTACLS
Emergency Medical Technician, Basic in Columbus, OH. Individual provider (NPI-1).
NPI number1659037596
StatusActive
Last updated in NPPESNov 15, 2021
Details
- NPI
- 1659037596
- Entity type
- Individual (NPI-1)
- Name
- Austin Theodore Mahoney
- Credential
- EMTACLS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2021
- Certification date
- Nov 15, 2021
- Last updated
- Nov 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | 084554 | OH | Yes |
Practice location
1516 Burlington AveColumbus, OH 43227-2441
Phone 614-207-8951
Mailing address
1516 Burlington AveColumbus, OH 43227-2441
Phone 614-207-8951
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