Healthcare Provider Details

I. General information

NPI: 1699944330
Provider Name (Legal Business Name): JAMES ANTHONY HERRING NREMT-P
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER AL
36362-3555
US

IV. Provider business mailing address

BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER AL
36362-3555
US

V. Phone/Fax

Practice location:
  • Phone: 334-255-7032
  • Fax:
Mailing address:
  • Phone: 334-255-7032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number8628241
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberM0848863
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: