Gavin John Maclachlan, EMT
Individual provider Active NPI Basic Emergency Medical Technician · De Witt, NY
NPI 1356850820 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1356850820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- 265391 (NY)
- Practice address
- 115 Downing Rd
De Witt, NY 13214-1547 - Phone
- (315) 530-2733
- NPI assigned
- Sep 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265391 | NY | MD | Basic Emergency Medical Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 265391 | NY | Yes |
Addresses
Primary practice location
115 Downing Rd
De Witt, NY 13214-1547
Mailing address
115 Downing Rd
De Witt, NY 13214-1547
Phone (315) 530-2733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265391 | Other | NY | EMERGENCY MEDICAL TECHNICIAN |
Other providers in De Witt, NY
- Donald Joseph Ladd
- Norman A Lasda
- Lasik Provision, PC
- Tanya O Lemon
- June Leo-Randazzo
- Mary Mandelis
- Laurie Ellen Manfrates
- Vincent Marino Jr.
- Christy Marvin
- Simran Marwah
All providers in De Witt, NY · Basic Emergency Medical Technician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.