Individual
RAYMOND MASSENGILL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 SOUTHPOINTE DR, FRANKLIN, IN 46131-9835
(317) 739-4242
Mailing address
1135 SOUTHPOINTE DR, FRANKLIN, IN 46131-9835
(317) 739-4242
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
99207
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201122210 A
—
IN
Enumeration date
08/01/2014
Last updated
08/01/2014
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