IndividualActive
James Clark, AEMT
NPI 1831958982 · Intermediate Emergency Medical Technician · Chesapeake, VA
Provider details
- NPI number
- 1831958982
- Entity type
- Individual
- Primary specialty
- Intermediate Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- AEMT
- Sex
- Male
- Sole proprietor
- No
- License
- C202205033 (VA)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
105 Ridgewood Ct
Chesapeake, VA 23325-2219
Phone: (775) 230-6670
Approximate (ZIP-level) locationGet directions
Mailing address
1855 Chelcie St
Fallon, NV 89406-8263
Registry dates
- Enumerated
- 2024-03-18
- Last updated
- 2024-03-18
- Certified
- 2024-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.