Provider Demographics
NPI:1720015340
Name:LARONDE, BRETT RODOLPHE (ATC, NREMT-B)
Entity Type:Individual
Prefix:MR
First Name:BRETT
Middle Name:RODOLPHE
Last Name:LARONDE
Suffix:
Gender:M
Credentials:ATC, NREMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56-490 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:KAHUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96731-2200
Mailing Address - Country:US
Mailing Address - Phone:808-293-8950
Mailing Address - Fax:
Practice Address - Street 1:56-490 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:KAHUKU
Practice Address - State:HI
Practice Address - Zip Code:96731-2200
Practice Address - Country:US
Practice Address - Phone:808-293-8950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1905146N00000X
2255A2300X
HIAT1522255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic