SAMUEL DRUCE MONTMORENCY NPI 1275160947

NPI Information

NPI: 1275160947
Provider Name: SAMUEL DRUCE MONTMORENCY
Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Individual
Address:
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT
ZIP 84009
Phone: (801) 213-4500
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Samuel Druce Montmorency is an emergency medical technician basic in South Jordan, UT. 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. Samuel Druce Montmorency NPI is 1275160947. 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:

5126 W DAYBREAK PKWY
SOUTH JORDAN, UT
ZIP 84009-994
Phone: (801) 213-4500

The enumeration date for this NPI number is 3/24/2020 and was last updated on 3/24/2020.

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
1	146N00000X	Emergency Medical Technician, Basic		2019032895	UTAH	Yes

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: 11/14/2023

NPI Synchronization or Removal

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