DONOVAN PETTIFORD
NPI 1962974097
Private Vehicle in Indianapolis, IN
Active since December 31, 2018
About Donovan Pettiford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONOVAN PETTIFORD (NPI 1962974097) is an individual private vehicle provider in Indianapolis, Indiana, licensed in Indiana (5330-20-5370) and active in the NPI registry since December 2018.
NPPES Registry Identity
NPI1962974097
Entity TypeIndividualMale
Primary Taxonomy347C00000X
Provider Legal NameDONOVAN PETTIFORD
Location Address6128 MORNING DOVE DRIndianapolis, IN 46228-1097
Mailing Address6128 Morning Dove DrIndianapolis, IN 46228-1097 · (317) 366-3979
Phone(317) 366-3979
Sole ProprietorYes
Enumeration DateDecember 31, 2018
✔ NPI 1962974097 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
License✔ Licensed in IN · 5330-20-5370
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
6128 MORNING DOVE DR, Indianapolis, IN 46228
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962974097, enumerated as an "individual" on December 31, 2018.
The provider is located at 6128 MORNING DOVE DR INDIANAPOLIS, IN 46228 and the phone number is (317) 366-3979.
Private Vehicle with taxonomy code 347C00000X.
