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Tyrell White
Non-emergency Medical Transport (VAN) in Sikeston, Missouri
NPI 1699441006

Tyrell White is a Non-emergency Medical Transport (VAN) based in Sikeston, MO. Tyrell White practices in Sikeston, MO. The NPI Number for Tyrell White is 1699441006 and holds a License No. (Missouri).

The current practice location address for Tyrell White is 102 S Interstate Dr Ste 18, Sikeston, MO and can be reached out via phone at 573-481-5473. You can also correspond with Tyrell White through the mailing address at 102 S INTERSTATE DR STE 18, SIKESTON, MO - 63801-8641 (mailing address contact number: 573-481-5473).

Location: 102 S Interstate Dr Ste 18, Sikeston, MO, 63801-8641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699441006
Provider Name
Tyrell White
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 S Interstate Dr Ste 18, Sikeston, MO, 63801-8641
Phone Number
573-481-5473
Fax Number
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85-3551579 05 MO
institution
Provider Business Practice Location Address Details
Address
102 S Interstate Dr Ste 18
City
Sikeston
State
Missouri
Zip
63801-8641
Phone Number
573-481-5473
Fax Number
person
Provider Business Mailing Address Details
Address
102 S Interstate Dr Ste 18
City
Sikeston
State
Missouri
Zip
63801-8641
Phone Number
573-481-5473
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Missouri)
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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