Healthcare Provider Details

I. General information

NPI: 1407767205
Provider Name (Legal Business Name): WEST SARVER NREMT-P
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 BROADWAY
ALLENTOWN PA
18104-5296
US

IV. Provider business mailing address

4300 BROADWAY
ALLENTOWN PA
18104-5296
US

V. Phone/Fax

Practice location:
  • Phone: 610-554-7728
  • Fax:
Mailing address:
  • Phone: 484-695-8208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number912469
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: