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Charles Edward Wiseman
Private Vehicle in Blue Springs, Missouri
NPI 1063975423

Charles Edward Wiseman is a Private Vehicle based in Blue Springs, MO. Charles Edward Wiseman practices in Blue Springs, MO. The NPI Number for Charles Edward Wiseman is 1063975423 and holds a License No. (Missouri).

The current practice location address for Charles Edward Wiseman is 8091 Sw 4Th St, Blue Springs, MO and can be reached out via phone at 314-496-3230.

Location: 8091 Sw 4Th St, Blue Springs, MO, 64014-7846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063975423
Provider Name
Charles Edward Wiseman
Credential
Provider Entity Type
Individual
Gender
Male
Address
8091 Sw 4Th St, Blue Springs, MO, 64014-7846
Phone Number
314-496-3230
Fax Number
Provider Enumeration Date
04/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8091 Sw 4Th St
City
Blue Springs
State
Missouri
Zip
64014-7846
Phone Number
314-496-3230
Fax Number
person
Provider Business Mailing Address Details
Address
8091 Sw 4Th St
City
Blue Springs
State
Missouri
Zip
64014-7846
Phone Number
314-496-3230
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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