Eric H Messenger
Emergency Medical Technician, Basic in Clarksdale, MS. Individual provider (NPI-1).
NPI number1669955068
StatusActive
Last updated in NPPESSep 11, 2018
Details
- NPI
- 1669955068
- Entity type
- Individual (NPI-1)
- Name
- Mr. Eric H Messenger
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2018
- Last updated
- Sep 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | E2082955 | MS | Yes |
Practice location
711 Poplar StClarksdale, MS 38614-4957
Phone 662-641-0441
Mailing address
3094 Loganberry CvSouthaven, MS 38672-6043
Phone 662-641-0441
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