Provider Demographics
NPI:1679278238
Name:BIAS, BERHITTA
Entity Type:Individual
Prefix:
First Name:BERHITTA
Middle Name:
Last Name:BIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4047 HEARTHSTONE PL
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-4020
Mailing Address - Country:US
Mailing Address - Phone:419-503-8453
Mailing Address - Fax:
Practice Address - Street 1:4047 HEARTHSTONE PL
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-4020
Practice Address - Country:US
Practice Address - Phone:419-378-9984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)