Individual provider · Type 1 NPI

Mary Johnson

Private Vehicle · South Bend, IN

NPI number 1043092299 Active

Practice location

3817 Belle Vis
South Bend, IN 46619-2944

Specialties and licenses

TaxonomyCodeLicense
Taxi 344600000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Bus 347B00000XNone listed
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1043092299

Mary Johnson's National Provider Identifier is 1043092299, issued on Oct 20, 2023. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in South Bend, IN. The record was last updated on Oct 20, 2023.