Provider Demographics
NPI:1538491295
Name:HARTON, DANIEL BRUCE (RN, EMT-B)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:BRUCE
Last Name:HARTON
Suffix:
Gender:M
Credentials:RN, EMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ONSTED
Mailing Address - State:MI
Mailing Address - Zip Code:49265-9634
Mailing Address - Country:US
Mailing Address - Phone:517-467-7802
Mailing Address - Fax:
Practice Address - Street 1:205 N EAST AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1753
Practice Address - Country:US
Practice Address - Phone:517-788-4811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3203042050146N00000X
MI4704259547163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic