Dewayne Carl Haverstick, NREMTP Valid NPI

Individual provider · Paramedic · Fort Rucker, AL

NPI

1770830960

Type

Individual (Type 1)

Primary specialty

Paramedic (Emergency Medical Technician, Paramedic)

Specialty group

Emergency Medical Service Providers

Taxonomy code

146L00000X

License number

0800200 (AL)

Sex

Male

Sole proprietor

Yes

Enumerated

2012-08-07

Last updated

2012-08-07