Healthcare Provider Details

I. General information

NPI: 1750964623
Provider Name (Legal Business Name): BELINDA DULANEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 04/29/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

278 OAK DR
MOBILE AL
36617
US

IV. Provider business mailing address

278 OAK DR
MOBILE AL
36617
US

V. Phone/Fax

Practice location:
  • Phone: 251-545-9395
  • Fax:
Mailing address:
  • Phone: 251-545-9395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number4718560
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: