Healthcare Provider Details

I. General information

NPI: 1770312696
Provider Name (Legal Business Name): EIDEN SCOTT FRENCH EMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 MIDDLE ST
BATH ME
04530-2426
US

IV. Provider business mailing address

923 MIDDLE ST
BATH ME
04530-2426
US

V. Phone/Fax

Practice location:
  • Phone: 207-402-8239
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number31394
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: