Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE LEON CHEATHAM, EMT
Active Sole ProprietorJACKIE LEON CHEATHAM, EMT is a Emergency Medical Technician, Basic healthcare provider located in CALICO ROCK, Arkansas. NPI 1225348980 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Basic · CALICO ROCK, AR
Registration Details
- NPI Number
- 1225348980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2010 (15.841205093881 yrs)
- Last Updated
- Oct 15, 2010
- License
-
16847 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
907 AR HWY 56CALICO ROCK, AR, 725190261Browse AR providers · Browse ZIP 72519
- Phone
- 8704219494
- Primary Specialty
-
Emergency Medical Technician, Basic
146N00000X
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.