Doctor Name: | MR. JEFFREY H LOCKE |
NPI Number: | 1700182268 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | T340284121907 |
Business Practice Address: | 3982 144th St W Rosemount, MN - 550684053 |
Business Phone Number: | 6513221650 |
Business Fax Number: | |
Mailing Address: | 3982 144th St W, ROSEMOUNT |
State: | MN |
Postal Code: | 550684053 |
Phone Number: | 6513221650 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2011 |
NPI Last Update Date: | 02/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | T340284121907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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. |