Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN CHRISTOPHER JOLLY, ATC, EMT-B
Active Sole ProprietorRYAN CHRISTOPHER JOLLY, ATC, EMT-B is a Emergency Medical Technician, Basic healthcare provider located in LAKE GENEVA, Wisconsin. NPI 1962916395 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Basic · LAKE GENEVA, WI
Registration Details
- NPI Number
- 1962916395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2017 (8.7405302176758 yrs)
- Last Updated
- Nov 21, 2017
- License
-
70108769 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N1457 HILLSIDE RDLAKE GENEVA, WI, 531474235Browse WI providers · Browse ZIP 53147
- Phone
- 2622484103
- Primary Specialty
-
Emergency Medical Technician, Basic
146N00000X
- Additional Specialty
- Emergency Medical Technician, Basic
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.