NPI 1366361651

Michael John Rose

Practitioner Intermediate Emergency Medical Technician Lisbon, CT

Practice location

Address: 7 Bushnell Rd, Lisbon, CT 06351-2910
Phone: (959) 929-5085

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 71.001728 (CT)

Other Emergency Medical Technician, Intermediate providers in Connecticut →

Registry record

NPI: 1366361651
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2026
Record last updated: 13 Jul 2026

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.