Daniel Duge
Individual provider Active NPI Driver · Bargersville, IN
NPI 1083498448 · NPPES record last updated Aug 24, 2023
Key facts
- NPI
- 1083498448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- D200160842261 (FL)
- Practice address
- 3533 Tipperlin Rd
Bargersville, IN 46106-9664 - Phone
- (305) 502-9422
- NPI assigned
- Aug 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D200160842261 | FL | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaspen Transport LLC | Driver | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | D200160842261 | FL | Yes |
Addresses
Primary practice location
3533 Tipperlin Rd
Bargersville, IN 46106-9664
Mailing address
3533 Tipperlin Rd
Bargersville, IN 46106-9664
Phone (305) 502-9422
Other providers in Bargersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.