Doctor Name: | MR. MICHEL CLEMENT BERNARDIN |
NPI Number: | 1851533277 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 179 Laurel Estates Cir Chuckey, TN - 376416157 |
Business Phone Number: | 4233292276 |
Business Fax Number: | |
Mailing Address: | Po Box 235, CHUCKEY |
State: | TN |
Postal Code: | 376410235 |
Phone Number: | 4233292276 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2009 |
NPI Last Update Date: | 03/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |