Individual provider · Type 1 NPI

Charles Edward Wiseman

Private Vehicle · Blue Springs, MO

NPI number 1063975423 Active

Practice location

8091 SW 4th St
Blue Springs, MO 64014-7846

Call (314) 496-3230 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

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

About NPI 1063975423

Charles Edward Wiseman's National Provider Identifier is 1063975423, issued on Apr 11, 2019. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Blue Springs, MO. The record was last updated on Apr 11, 2019.