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Mr. William Smith IV
Private Vehicle in Decatur, Illinois
NPI 1275179178

William Smith IV is a Private Vehicle based in Decatur, IL. William Smith IV practices in Decatur, IL. The NPI Number for William Smith IV is 1275179178 and holds a License No. S53093286346 (Illinois).

The current practice location address for William Smith IV is 2535 S Twin Bridge Rd, Decatur, IL and can be reached out via phone at 217-853-4432.

Location: 2535 S Twin Bridge Rd, Decatur, IL, 62521-9604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275179178
Provider Name
William Smith IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
2535 S Twin Bridge Rd, Decatur, IL, 62521-9604
Phone Number
217-853-4432
Fax Number
Provider Enumeration Date
11/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2535 S Twin Bridge Rd
City
Decatur
State
Illinois
Zip
62521-9604
Phone Number
217-853-4432
Fax Number
person
Provider Business Mailing Address Details
Address
2535 S Twin Bridge Rd
City
Decatur
State
Illinois
Zip
62521-9604
Phone Number
217-853-4432
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
S53093286346 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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