Organization Name: | CARL R REICHELT |
NPI Number: | 1346642097 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL RICHARD REICHELT (OWNER) |
Mailing Address: | 3234 Copeland Rd Port Austin |
State: | MI US |
Postal Code: | 484679265 |
Phone Number: | 9897386202 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2014 |
NPI Last Update Date: | 09/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | MDOT L1005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Private Vehicle |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |