Organization · Type 2 NPI

Tim Douglass

Private Vehicle · Mount Vernon, OH

NPI number 1679960124 Active

Practice location

14060 Vincent Rd
Mount Vernon, OH 43050-8283

Call (740) 485-8529 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XRP410135 (OH)

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

About NPI 1679960124

Tim Douglass's National Provider Identifier is 1679960124, issued on Apr 22, 2015. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Mount Vernon, OH. The record was last updated on Apr 22, 2015.