Provider Demographics
NPI:1124155080
Name:ALLEMAN, THOMAS RAY (PARAMEDIC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:RAY
Last Name:ALLEMAN
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-8942
Mailing Address - Country:US
Mailing Address - Phone:717-395-4815
Mailing Address - Fax:717-432-0468
Practice Address - Street 1:575 RIDGE RD
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-8942
Practice Address - Country:US
Practice Address - Phone:717-395-4815
Practice Address - Fax:717-432-0468
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA144821146L00000X
PA06108341600000X
PA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)