Individual
JACQUELINE PIPPINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 FOREST AVE, FORT WAYNE, IN 46805-4437
(260) 557-8159
Mailing address
1218 FOREST AVE, FORT WAYNE, IN 46805-4437
(260) 557-8159
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0500633872
IN
Other
Enumeration date
01/01/2009
Last updated
01/01/2009
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