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Mr. Corey Allen SR.
Private Vehicle in Indianapolis, Indiana
NPI 1497443667

Corey Allen SR. is a Private Vehicle based in Indianapolis, IN. Corey Allen SR. practices in Indianapolis, IN. The NPI Number for Corey Allen SR. is 1497443667 and holds a License No. 2400448624 (Indiana).

The current practice location address for Corey Allen SR. is 4246 Sunshine Ave, Indianapolis, IN and can be reached out via phone at 317-531-7613.

Location: 4246 Sunshine Ave, Indianapolis, IN, 46228-2719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497443667
Provider Name
Corey Allen SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4246 Sunshine Ave, Indianapolis, IN, 46228-2719
Phone Number
317-531-7613
Fax Number
Provider Enumeration Date
04/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4246 Sunshine Ave
City
Indianapolis
State
Indiana
Zip
46228-2719
Phone Number
317-531-7613
Fax Number
person
Provider Business Mailing Address Details
Address
4246 Sunshine Ave
City
Indianapolis
State
Indiana
Zip
46228-2719
Phone Number
317-531-7613
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Secured Medical Transport (VAN)
Speciality
-
Taxonomy
343800000X
License No.
2400448624 (Indiana)
Definition
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
2400448624 (Indiana)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
2400448624 (Indiana)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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