Individual
JULIE FRENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4540 S BILTMORE AVE, INDIANAPOLIS, IN 46221-3104
(317) 529-2921
Mailing address
4540 S BILTMORE AVE, INDIANAPOLIS, IN 46221-3104
(317) 529-2921
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IN
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-1085431
IRS
IN
Enumeration date
02/01/2024
Last updated
02/01/2024
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