MR. RYAN MICHAEL WALLACE HEALTH SERVICES TECH NPI 1003891920

NPI Information

  • NPI: 1003891920
  • Provider Name: MR. RYAN MICHAEL WALLACE, HEALTH SERVICES TECH
  • Classification: Emergency Medical Technician, Basic - 146N00000X
  • Entity Type: Individual
  • Address: 5201 LEE RD
    BUZZARDS BAY, MA
    ZIP 02542
  • Phone: (508) 968-6572

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NPI Details

MR. Ryan Michael Wallace, HEALTH SERVICES TECH is an emergency medical technician basic in Buzzards Bay, MA. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. MR. Ryan Michael Wallace, HEALTH SERVICES TECH NPI is 1003891920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5201 LEE RD
BUZZARDS BAY, MA
ZIP 02542-313
Phone: (508) 968-6572
Fax: (508) 968-6581

The enumeration date for this NPI number is 12/14/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146N00000XEmergency Medical Technician, BasicB1552861CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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