Douglas Paul Binder

Individual provider Active NPI Basic Emergency Medical Technician · Shoreview, MN

NPI 1447720396 · NPPES record last updated Dec 3, 2018

Key facts

NPI
1447720396
Entity type
Individual (NPI type 1)
Primary specialty
Basic Emergency Medical Technician 146N00000X
License
922876 (MN)
Practice address
5025 Turtle LN W
Shoreview, MN 55126-5953
Phone
(651) 230-1993
NPI assigned
Dec 3, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
922876MNMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Wheelchair Ramps LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 922876 MN Yes

Addresses

Primary practice location

5025 Turtle LN W
Shoreview, MN 55126-5953

Mailing address

5025 Turtle LN W
Shoreview, MN 55126-5953
Phone (651) 230-1993

Other providers in Shoreview, MN

All providers in Shoreview, MN · Basic Emergency Medical Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.