CHANCE MERTGEN
NPI 1073389847
Driver in Boonville, MO
Active since December 01, 2023
About Chance Mertgen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANCE MERTGEN (NPI 1073389847) is an individual driver provider in Boonville, Missouri, licensed in Missouri (S081081006) and active in the NPI registry since December 2023.
NPPES Registry Identity
NPI1073389847
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameCHANCE MERTGEN
Location Address1728 JESSE JAMES CTBoonville, MO 65233-2874
Mailing Address1728 Jesse James CtBoonville, MO 65233-2874 · (573) 540-7160
Phone(573) 540-7160
Sole ProprietorNo
Enumeration DateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
✔ NPI 1073389847 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in MO · S081081006
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
1728 JESSE JAMES CT, Boonville, MO 65233
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Non-emergency Medical Transport (VAN)
1728 JESSE JAMES CT
BOONVILLE, MO 65233
BOONVILLE, MO 65233
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073389847, enumerated as an "individual" on December 01, 2023.
The provider is located at 1728 JESSE JAMES CT BOONVILLE, MO 65233 and the phone number is (573) 540-7160.
Driver with taxonomy code 172A00000X.
