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Kristine Willoughby
Transportation Broker in South Bend, Indiana
NPI 1326676024

Kristine Willoughby is a Transportation Broker based in South Bend, IN. Kristine Willoughby practices in South Bend, IN. The NPI Number for Kristine Willoughby is 1326676024 and holds a License No. (Indiana).

The current practice location address for Kristine Willoughby is 505 S 25Th St, South Bend, IN and can be reached out via phone at 574-217-5997.

Location: 505 S 25Th St, South Bend, IN, 46615-2117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326676024
Provider Name
Kristine Willoughby
Credential
Provider Entity Type
Individual
Gender
Female
Address
505 S 25Th St, South Bend, IN, 46615-2117
Phone Number
574-217-5997
Fax Number
Provider Enumeration Date
03/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
505 S 25Th St
City
South Bend
State
Indiana
Zip
46615-2117
Phone Number
574-217-5997
Fax Number
person
Provider Business Mailing Address Details
Address
505 S 25Th St
City
South Bend
State
Indiana
Zip
46615-2117
Phone Number
574-217-5997
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.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Transportation Broker
Speciality
-
Taxonomy
347E00000X
License No.
()
Definition
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
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