Denise Marie Martincic
Driver in Niles, IL. Individual provider (NPI-1).
NPI number1982165304
StatusActive
Last updated in NPPESMar 28, 2019
Details
- NPI
- 1982165304
- Entity type
- Individual (NPI-1)
- Name
- Denise Marie Martincic
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2019
- Last updated
- Mar 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
| 347B00000X | Bus | – | – | |
| 347C00000X | Private Vehicle | – | IL | |
| 347E00000X | Transportation Broker | – | – |
Practice location
8259 N Octavia AveNiles, IL 60714-2624
Phone 216-331-9365 · Fax 216-671-3991
Mailing address
8259 N Octavia Ave # 3Niles, IL 60714-2624
Phone 216-331-9365 · Fax 216-671-3991
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