Provider Demographics
NPI:1184403362
Name:REYMUS, ERIC JESS SR (AEMT)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:JESS
Last Name:REYMUS
Suffix:SR
Gender:M
Credentials:AEMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 HOSPITAL RD
Mailing Address - Street 2:DRAWER C
Mailing Address - City:SCHURZ
Mailing Address - State:NV
Mailing Address - Zip Code:89427
Mailing Address - Country:US
Mailing Address - Phone:775-773-2005
Mailing Address - Fax:775-773-2395
Practice Address - Street 1:1025 HOSPITAL RD
Practice Address - Street 2:DRAWER C
Practice Address - City:SCHURZ
Practice Address - State:NV
Practice Address - Zip Code:89427
Practice Address - Country:US
Practice Address - Phone:775-773-2005
Practice Address - Fax:775-773-2395
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13083146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate