Individual provider · Type 1 NPI
Fritzgerald Charles
Private Vehicle · Lansing, IL
NPI number
1174817548
Active
Practice location
3623 173rd Ct Apt 5C
Lansing, IL 60438-1444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | 6550040207 (IN) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Other private vehicle providers in Lansing
About NPI 1174817548
Fritzgerald Charles's National Provider Identifier is 1174817548, issued on Jun 2, 2011. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Lansing, IL. The record was last updated on Jun 2, 2011.