National Provider Identifier Database

MACON COUNTY SHELTERED WORKSHOP
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

MACON COUNTY SHELTERED WORKSHOP
1103 ENTERPRISE RD
MACON, MO63552-1305
Phone: 660-385-3111
Fax: 660-395-9578
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X

* Indicates primary specialty

NPI Profile & details for MACON COUNTY SHELTERED WORKSHOP

NPI Number 1679100507
Legal business name
LBN
MACON COUNTY SHELTERED WORKSHOP
Authorized official ELLEN SPIDLE - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/23/2020
Last updated 03/23/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: M857758502

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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