BRANDON NICKOLAS MATTSON PARAMEDIC NPI 1912780198

NPI Information

NPI: 1912780198
Provider Name: BRANDON NICKOLAS MATTSON, PARAMEDIC
Classification: Emergency Medical Technician, Paramedic - 146L00000X
Entity Type: Individual
Address:
308 QUINCY ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 391-4863
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Brandon Nickolas Mattson, PARAMEDIC is an emergency medical technician paramedic in Rapid City, SD. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. Brandon Nickolas Mattson, PARAMEDIC NPI is 1912780198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

308 QUINCY ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 391-4863
Fax: (605) 342-3692

The enumeration date for this NPI number is 8/14/2023 and was last updated on 8/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146L00000X	Emergency Medical Technician, Paramedic		3414	SOUTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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