Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ATHAN ANDERSON III
Active Sole ProprietorMR. ATHAN ANDERSON III is a Emergency Medical Technician, Basic healthcare provider located in PORTSMOUTH, Virginia. NPI 1215957469 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Basic · PORTSMOUTH, VA
Registration Details
- NPI Number
- 1215957469
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2006 (20.07799246287 yrs)
- Last Updated
- Jul 8, 2007
- License
-
B1625287 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4000 COAST GUARD BLVDPORTSMOUTH, VA, 237072199Browse VA providers · Browse ZIP 23707
- Phone
- 7574838710
- Fax
- 7574838716
- Primary Specialty
-
Emergency Medical Technician, Basic
146N00000X
Other Emergency Medical Technician, Basic Providers in PORTSMOUTH, VA
| Name | Credential | NPI |
|---|---|---|
| MICHAELENA JO OBERSCHLAKE | — | 1851731228 |
| MRS. AMBER CARLIE REID FORD | HS | 1275974248 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.