Doctor Name: | MR. RODERICK BERTRAM EWING |
NPI Number: | 1235417056 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0410-21-5033 |
Business Practice Address: | 3412 Deodar St East Chicago, IN - 463122024 |
Business Phone Number: | 2193817235 |
Business Fax Number: | |
Mailing Address: | 3412 Deodar St, EAST CHICAGO |
State: | IN |
Postal Code: | 463122024 |
Phone Number: | 2193817235 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2011 |
NPI Last Update Date: | 07/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 344600000X |
License Number: | 0410-21-5033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Taxi |
Taxonomy Specialization: | |
Taxonomy Definition: | A land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located. |