Provider Demographics
NPI:1215700158
Name:IPPEL, ERIKA LYNNE (EMT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYNNE
Last Name:IPPEL
Suffix:
Gender:F
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12167 TAFT
Mailing Address - Street 2:
Mailing Address - City:NUNICA
Mailing Address - State:MI
Mailing Address - Zip Code:49448-9758
Mailing Address - Country:US
Mailing Address - Phone:616-298-4442
Mailing Address - Fax:
Practice Address - Street 1:12167 TAFT
Practice Address - Street 2:
Practice Address - City:NUNICA
Practice Address - State:MI
Practice Address - Zip Code:49448-9758
Practice Address - Country:US
Practice Address - Phone:616-298-4442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer