Renay Ann Bemiller

Individual provider Active NPI Transportation Broker · Wakarusa, IN

NPI 1669017794 · NPPES record last updated Nov 13, 2019

Key facts

NPI
1669017794
Entity type
Individual (NPI type 1)
Primary specialty
Transportation Broker 347E00000X
License
8942-92-6102 (IN)
Practice address
102 Westgate Blvd
Wakarusa, IN 46573-8507
Phone
(574) 612-3757
NPI assigned
Nov 13, 2019
Sex
Female
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
Transportation Broker 347E00000X 8942-92-6102 IN Yes

Addresses

Primary practice location

102 Westgate Blvd
Wakarusa, IN 46573-8507

Mailing address

102 Westgate Blvd
Wakarusa, IN 46573-8507
Phone (574) 612-3757

Other providers in Wakarusa, IN

All providers in Wakarusa, IN · Transportation Broker in Indiana

Sources for this page

Verify at the official NPI Registry.