Provider Demographics
NPI:1417122656
Name:PARKINSON, GARY ALBERT (EMT-II)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:ALBERT
Last Name:PARKINSON
Suffix:
Gender:M
Credentials:EMT-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 ONEIL LN
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-4870
Mailing Address - Country:US
Mailing Address - Phone:707-443-9385
Mailing Address - Fax:707-443-0258
Practice Address - Street 1:2828 ONEIL LN
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-4870
Practice Address - Country:US
Practice Address - Phone:707-443-9385
Practice Address - Fax:707-443-0258
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM07001184146M00000X
CA95171768163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate