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Mr. Chester Lee Thomas JR.
Private Vehicle in Gary, Indiana
NPI 1518658590

Chester Lee Thomas JR. is a Private Vehicle based in Gary, IN. Chester Lee Thomas JR. practices in Gary, IN. The NPI Number for Chester Lee Thomas JR. is 1518658590 and holds a License No. 6550017256 (Indiana).

The current practice location address for Chester Lee Thomas JR. is 3329 Pennsylvania St, Gary, IN and can be reached out via phone at 219-316-2214.

Location: 3329 Pennsylvania St, Gary, IN, 46409-1026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518658590
Provider Name
Chester Lee Thomas JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3329 Pennsylvania St, Gary, IN, 46409-1026
Phone Number
219-316-2214
Fax Number
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3329 Pennsylvania St
City
Gary
State
Indiana
Zip
46409-1026
Phone Number
219-316-2214
Fax Number
person
Provider Business Mailing Address Details
Address
3329 Pennsylvania St
City
Gary
State
Indiana
Zip
46409-1026
Phone Number
219-316-2214
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
6550017256 (Indiana)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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