Charles Allan Pitts
Taxi in Bolivar, MO. Individual provider (NPI-1).
NPI number1669949772
StatusActive
Last updated in NPPESOct 30, 2018
Details
- NPI
- 1669949772
- Entity type
- Individual (NPI-1)
- Name
- Charles Allan Pitts
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2018
- Last updated
- Oct 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 344600000X | Taxi | S063269009 | MO | Yes |
| 344600000X | Taxi | t981478106 | MO |
Practice location
965 E Mt Gilead RdBolivar, MO 65613-9128
Phone 417-327-6104
Mailing address
965 E Mt Gilead RdBolivar, MO 65613-9128
Phone 417-327-6104
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