MR. FRITZGERALD CHARLES


Address: 3623 173rd Ct Apt 5c, Lansing, IL 60438-1444
Phone: 7738018683

MR. FRITZGERALD CHARLES (NPI# 1174817548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174817548
Entity Type Individual
Full Name MR. FRITZGERALD CHARLES
Practice Address 3623 173rd Ct Apt 5c
Lansing
IL 60438-1444
Practice Telephone 7738018683
Mailing Telephone 7738018683
Enumeration Date 2011-06-02
Last Update Date 2011-06-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347C00000X Private Vehicle 6550040207 IN Transportation Services

Office Location

Street Address 3623 173RD CT APT 5C
City LANSING
State IL
Zip Code 60438-1444

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Taxonomy Information

Taxonomy Code 347C00000X
Grouping Transportation Services
Classification Private Vehicle

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1275179178 William Smith Iv Private Vehicle 2535 S Twin Bridge Rd, Decatur, IL 62521-9604 2019-11-26
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Competitor

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City LANSING
Zip Code 60438

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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