Provider Demographics
NPI:1831547546
Name:ROLLMAN, JEFFREY (MPH, NRP, CCEMTP)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:ROLLMAN
Suffix:
Gender:M
Credentials:MPH, NRP, CCEMTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-0069
Mailing Address - Country:US
Mailing Address - Phone:717-532-6060
Mailing Address - Fax:
Practice Address - Street 1:711 E ORANGE ST
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-2145
Practice Address - Country:US
Practice Address - Phone:310-279-9127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic