Individual provider · Type 1 NPI
Matthew Gladle
Driver · Ogdensburg, NY
NPI number
1508295254
Active
Practice location
805 Caroline St
Ogdensburg, NY 13669-3303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 445524456 (NY) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1508295254
Matthew Gladle's National Provider Identifier is 1508295254, issued on Nov 4, 2013. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Ogdensburg, NY. The record was last updated on Nov 4, 2013.