Provider Demographics
NPI:1851135537
Name:OAKES-KROEPLIN, HARRY HOLMES
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:HOLMES
Last Name:OAKES-KROEPLIN
Suffix:
Gender:M
Credentials:
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 584
Mailing Address - Street 2:
Mailing Address - City:DUBOIS
Mailing Address - State:WY
Mailing Address - Zip Code:82513-0584
Mailing Address - Country:US
Mailing Address - Phone:413-362-9206
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 584
Practice Address - Street 2:
Practice Address - City:DUBOIS
Practice Address - State:WY
Practice Address - Zip Code:82513-0584
Practice Address - Country:US
Practice Address - Phone:413-362-9206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP547851146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic