NPI 1265786107

Jayson D Wickard

Practitioner Basic Emergency Medical Technician Canton, OH

Practice location

Address: 2215 6th St SW, Canton, OH 44706-1327
Phone: (866) 576-4118
Fax: (877) 847-7347
Mailing address: PO Box 6229, Columbus, OH 43206-0229

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 144148 (OH)

Other Emergency Medical Technician, Basic providers in Ohio →

Registry record

NPI: 1265786107
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2012
Record last updated: 30 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.