Gerhard Hein

Individual provider Active NPI Private Vehicle · Ellenton, FL

NPI 1033836358 · NPPES record last updated Oct 26, 2022

Key facts

NPI
1033836358
Entity type
Individual (NPI type 1)
Primary specialty
Private Vehicle 347C00000X
Practice address
5997 Willows Bridge Loop
Ellenton, FL 34222-5219
Phone
(608) 764-0803
NPI assigned
Oct 26, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Yes

Addresses

Primary practice location

5997 Willows Bridge Loop
Ellenton, FL 34222-5219

Mailing address

5997 Willows Bridge Loop
Ellenton, FL 34222-5219
Phone (608) 764-0803

Other providers in Ellenton, FL

All providers in Ellenton, FL · Private Vehicle in Florida

Sources for this page

Verify at the official NPI Registry.