Provider Demographics
NPI:1558509570
Name:ARSENAULT, WILLIAM P (EMTP)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:P
Last Name:ARSENAULT
Suffix:
Gender:M
Credentials:EMTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4850 N ROSEPOINT WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-5262
Mailing Address - Country:US
Mailing Address - Phone:208-939-2100
Mailing Address - Fax:208-939-4411
Practice Address - Street 1:4850 N ROSEPOINT WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-5262
Practice Address - Country:US
Practice Address - Phone:208-939-2100
Practice Address - Fax:208-939-4411
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic