Healthcare Provider Details

I. General information

NPI: 1093537482
Provider Name (Legal Business Name): ERIC ESPINO EMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/28/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

U.S. ARMY HEALTH CLINIC VILSECK UNIT 23807 ROSE BARRACKS, GERMANY
APO AE
09112
US

IV. Provider business mailing address

U.S. ARMY HEALTH CLINIC VILSECK UNIT 23807 ROSE BARRACKS, GERMANY
APO AE
09112
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-2463
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberE3235424
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: