Not sure if that was directed to me or not, but primary source verification is going straight to the source & requesting the information from them (ie. NREMT, or the school/program certifying that the individual has met the requirements to test) rather than accepting a certificate.
When we credential physicians, we write to medical school, internship/residency program, fellowship, licensing boards, insurance companies (past & present for coverage information as well as claims history), past & present hosptial affiliations, employment, peer references, etc...
A really good book to read is called "Blind Eye" by James Stewart - true story! People have gotten away with posing as various medical professionals. It really does happen!
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