Individual provider · Type 1 NPI
Ethan Dennis Dahl
Basic Emergency Medical Technician · Ingleside, IL
NPI number
1194398776
Active
Practice location
306 Washington St
Ingleside, IL 60041-8324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Basic Emergency Medical Technician Primary | 146N00000X | 060783107 (IL) |
Basic Emergency Medical Technician: A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Another provider at this address
About NPI 1194398776
Ethan Dennis Dahl's National Provider Identifier is 1194398776, issued on Jul 21, 2021. The primary taxonomy on file is Basic Emergency Medical Technician (146N00000X), and the practice location is in Ingleside, IL. The record was last updated on Jul 21, 2021.