Martin F Dekort
Emergency Medical Services
1003 Willow Creek Rd
Prescott
, Arizona 86301-1641
Martin F Dekort
Emergency Medical Services
1003 Willow Creek Rd
Prescott
, Arizona 86301-1641
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Martin F Dekort
- 3950 W Iron Springs Rd
- Prescott, AZ
- Zip : 86305-5192
- Phone :
Second Address
- Martin F Dekort
- 1003 Willow Creek Rd
- Prescott, AZ
- Zip : 86301-1641
- Fax : (928) 771-5787
- Phone : (928) 445-2700
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 34219 | AZ |
National Provider Identifier
| NPI | 1154370732 |
|---|---|
| Provider Name | Martin F Dekort |
| First Address | Prescott, AZ 86305-5192 |
| Second Address | Prescott, AZ 86301-1641 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2006 |
| Last Update Date | 11/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I43234 | (02) | AZ |
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.