Individual provider · Type 1 NPI
Tracie E. Wilson
Driver · Greensburg, IN
NPI number
1073757530
Active
Practice location
3198 W County Road 500 N
Greensburg, IN 47240-9757
Fax (812) 663-8632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 8918-41-7119 (IN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1073757530
Tracie E. Wilson's National Provider Identifier is 1073757530, issued on Apr 28, 2009. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Greensburg, IN. The record was last updated on Apr 28, 2009.