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Tim Douglass
Private Vehicle in Mount Vernon, Ohio
NPI 1679960124

Tim Douglass is a Private Vehicle based in Mount Vernon, OH. Tim Douglass practices in Mount Vernon, OH. The NPI Number for Tim Douglass is 1679960124 and holds a License No. RP410135 (Ohio).

The current practice location address for Tim Douglass is 14060 Vincent Rd, Mount Vernon, OH and can be reached out via phone at 740-485-8529. You can also correspond with Tim Douglass through the mailing address at 14060 VINCENT RD, MOUNT VERNON, OH - 43050-8283 (mailing address contact number: 740-485-8529).

Location: 14060 Vincent Rd, Mount Vernon, OH, 43050-8283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679960124
Provider Name
Tim Douglass
Credential
Provider Entity Type
Organization
Address
14060 Vincent Rd, Mount Vernon, OH, 43050-8283
Phone Number
740-485-8529
Fax Number
Provider Enumeration Date
04/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14060 Vincent Rd
City
Mount Vernon
State
Ohio
Zip
43050-8283
Phone Number
740-485-8529
Fax Number
person
Provider Business Mailing Address Details
Address
14060 Vincent Rd
City
Mount Vernon
State
Ohio
Zip
43050-8283
Phone Number
740-485-8529
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
RP410135 (Ohio)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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