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Ardis Christopher Shannon
Driver in Suffolk, Virginia
NPI 1508628777

Ardis Christopher Shannon is a Driver based in Suffolk, VA. Ardis Christopher Shannon practices in Suffolk, VA. The NPI Number for Ardis Christopher Shannon is 1508628777 and holds a License No. 243944436 (Virginia).

The current practice location address for Ardis Christopher Shannon is 4522 Marlin Ave, Suffolk, VA and can be reached out via phone at 757-641-1876.

Location: 4522 Marlin Ave, Suffolk, VA, 23435-2377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508628777
Provider Name
Ardis Christopher Shannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
4522 Marlin Ave, Suffolk, VA, 23435-2377
Phone Number
757-641-1876
Fax Number
Provider Enumeration Date
01/24/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4522 Marlin Ave
City
Suffolk
State
Virginia
Zip
23435-2377
Phone Number
757-641-1876
Fax Number
person
Provider Business Mailing Address Details
Address
4522 Marlin Ave
City
Suffolk
State
Virginia
Zip
23435-2377
Phone Number
757-641-1876
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
243944436 (Mississippi)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Secured Medical Transport (VAN)
Speciality
-
Taxonomy
343800000X
License No.
243944436 (Mississippi)
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 3
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
243944436 (Mississippi)
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.
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