Individual provider · Type 1 NPI
Richard Anthony Izbicki
Private Vehicle · Parksville, SC
NPI number
1649557752
Active
Practice location
9783 Sc Highway 28 S
Parksville, SC 29845-3436
Fax (864) 280-9966
Mailing address
9783 South Sc Hwy 28, POBOX4899
Parksville, SC 29844-4899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 090561672 (SC) |
| Private Vehicle Primary | 347C00000X | 090561672 (SC) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1649557752
Richard Anthony Izbicki's National Provider Identifier is 1649557752, issued on Nov 3, 2011. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Parksville, SC. The record was last updated on Nov 3, 2011.