Healthcare Provider Details

I. General information

NPI: 1497635783
Provider Name (Legal Business Name): CHARLIE SCOTT NREMT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 CANAL ST
BRATTLEBORO VT
05301-6624
US

IV. Provider business mailing address

215 MAIN ST APT 103
BRATTLEBORO VT
05301-2805
US

V. Phone/Fax

Practice location:
  • Phone: 802-257-7679
  • Fax:
Mailing address:
  • Phone: 513-801-0564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number38095
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number107284
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: