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Mr. Matt Christopher Pina
Driver in Mount Vernon, Illinois
NPI 1932671625

Matt Christopher Pina is a Driver based in Benton, IL. Matt Christopher Pina practices in Mount Vernon, IL. The NPI Number for Matt Christopher Pina is 1932671625 and holds a License No. P500-5439-2244 (Illinois).

The current practice location address for Matt Christopher Pina is 2027 Casey Ave, Mount Vernon, IL and can be reached out via phone at 740-770-7096.

Location: 2027 Casey Ave, Mount Vernon, IL, 62812-1430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932671625
Provider Name
Matt Christopher Pina
Credential
Provider Entity Type
Individual
Gender
Male
Address
2027 Casey Ave, Mount Vernon, IL, 62812-1430
Phone Number
740-770-7096
Fax Number
Provider Enumeration Date
12/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P500-5439-2244 05 IL
institution
Provider Business Practice Location Address Details
Address
2027 Casey Ave
City
Mount Vernon
State
Illinois
Zip
62864-4477
Phone Number
740-770-7096
Fax Number
person
Provider Business Mailing Address Details
Address
2027 Casey Ave
City
Mount Vernon
State
Illinois
Zip
62864-4477
Phone Number
740-770-7096
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
P500-5439-2244 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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