RYAN CHRISTOPHER JOLLY ATC, EMT-B
NPI 1962916395
Emergency Medical Technician, Basic in Lake Geneva, WI
- Individual
- Male
- Emergency Medical Technician, Basic
About RYAN JOLLY
This page provides the complete NPI Profile along with additional information for Ryan Jolly, a provider established in Lake Geneva, Wisconsin with a medical specialization in Emergency Medical Technician, Basic. The healthcare provider is registered in the NPI registry with number 1962916395 assigned on November 2017. The practitioner's primary taxonomy code is 146N00000X with license number 70108769 (WI). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1962916395 Verify this NPI
- Provider Name
- RYAN CHRISTOPHER JOLLY ATC, EMT-B
- Gender
- Male
- Entity Type
- Individual
- Location Address
- N1457 HILLSIDE RD LAKE GENEVA, WI 53147
- Location Phone
- (262) 248-4103
- Mailing Address
- 1028 S LAKE SHORE DR LAKE GENEVA, WI 53147
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-21-2017
- Last Update Date
- 11-21-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medical Technician, Basic
- Taxonomy Code
- 146N00000X
- Type
- Emergency Medical Service Providers
- License No.
- 70108769
- License State
- WI
- Taxonomy Description
- A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962916395, enumerated as an "individual" on November 21, 2017.
The provider is located at N1457 HILLSIDE RD LAKE GENEVA, WI 53147 and the phone number is (262) 248-4103.
Emergency Medical Technician, Basic with taxonomy code 146N00000X.
