Healthcare Provider Details

I. General information

NPI: 1740112325
Provider Name (Legal Business Name): DAVID EMMONS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 WHITEHALL RD
ROCHESTER NH
03867-3226
US

IV. Provider business mailing address

25 MALLARD WAY
SHAPLEIGH ME
04076-3232
US

V. Phone/Fax

Practice location:
  • Phone: 603-332-5211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number34001
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: