Provider Demographics
NPI:1659702009
Name:BLEVINS, JOSHUA PAUL SR (CCTEMT-P)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:PAUL
Last Name:BLEVINS
Suffix:SR
Gender:M
Credentials:CCTEMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4057 RHODES AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-5556
Mailing Address - Country:US
Mailing Address - Phone:740-370-8342
Mailing Address - Fax:
Practice Address - Street 1:4057 RHODES AVE
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:OH
Practice Address - Zip Code:45662-5556
Practice Address - Country:US
Practice Address - Phone:740-370-8342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1051850146L00000X
OH124346146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic