Provider Demographics
NPI:1760264600
Name:LOCKE, JOE (PARAMEDIC)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:LOCKE
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-1330
Mailing Address - Country:US
Mailing Address - Phone:513-267-2767
Mailing Address - Fax:
Practice Address - Street 1:6262 HAM-MID RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:OH
Practice Address - Zip Code:45050-4505
Practice Address - Country:US
Practice Address - Phone:513-539-8380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH137188146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic