James Gareth Misslbeck
Emergency Medical Services
600 Coffee Rd
Modesto
, California 95355-4201
James Gareth Misslbeck
Emergency Medical Services
600 Coffee Rd
Modesto
, California 95355-4201
(209) 524-1211
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- James Gareth Misslbeck
- 600 Coffee Rd
- Modesto, CA
- Zip : 95355-4201
- Phone : (209) 524-1211
Second Address
- James Gareth Misslbeck
- 600 Coffee Rd
- Modesto, CA
- Zip : 95355-4201
- Phone : (209) 524-1211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | G51378 | CA |
National Provider Identifier
| NPI | 1114976131 |
|---|---|
| Provider Name | James Gareth Misslbeck |
| First Address | Modesto, CA 95355-4201 |
| Second Address | Modesto, CA 95355-4201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2006 |
| Last Update Date | 21/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G513780 | (05) | CA |
| E50370 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.