Provider Demographics
NPI:1235986589
Name:CARMICHAEL, CHAD ALAN (NRP)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:ALAN
Last Name:CARMICHAEL
Suffix:
Gender:M
Credentials:NRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5768 ROCKFISH RD
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-6153
Mailing Address - Country:US
Mailing Address - Phone:850-598-9852
Mailing Address - Fax:
Practice Address - Street 1:5768 ROCKFISH RD
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-6153
Practice Address - Country:US
Practice Address - Phone:850-598-9852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCM5024879146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic