Provider Demographics
NPI:1174870950
Name:PAPIERNIK, THOMAS DEAN (PARAMEDIC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:DEAN
Last Name:PAPIERNIK
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 1:120 WEST 3RD STREET
Mailing Address - Street 2:P.O. BOX 174
Mailing Address - City:VOLGA
Mailing Address - State:SD
Mailing Address - Zip Code:57071
Mailing Address - Country:US
Mailing Address - Phone:605-627-9284
Mailing Address - Fax:
Practice Address - Street 1:120 WEST 3RD STREET
Practice Address - Street 2:
Practice Address - City:VOLGA
Practice Address - State:SD
Practice Address - Zip Code:57071
Practice Address - Country:US
Practice Address - Phone:605-627-9284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic