Provider Demographics
NPI:1437150851
Name:STARR, JAMES MICHAEL (EMT - P)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:STARR
Suffix:
Gender:M
Credentials:EMT - P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 674
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:NM
Mailing Address - Zip Code:87942-0674
Mailing Address - Country:US
Mailing Address - Phone:505-894-4377
Mailing Address - Fax:
Practice Address - Street 1:2805B LAS VEGAS CT
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-4164
Practice Address - Country:US
Practice Address - Phone:505-527-2166
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM17134146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic