Eli Wheeler

Individual provider Active NPI Driver · Sunset, LA

NPI 1679326797 · NPPES record last updated Apr 9, 2024

Key facts

NPI
1679326797
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
009530149 (LA)
Practice address
178 Oak Blvd
Sunset, LA 70584
Phone
(337) 692-2437
NPI assigned
Apr 9, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
009530149LAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
L & C Transportation LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 009530149 LA Yes

Addresses

Primary practice location

178 Oak Blvd
Sunset, LA 70584

Mailing address

178 Oak Blvd
Sunset, LA 70584

Other providers in Sunset, LA

All providers in Sunset, LA · Driver in Louisiana

Sources for this page

Verify at the official NPI Registry.