Provider Demographics
NPI:1730801606
Name:TRICE, CHRIS DEMARE
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:DEMARE
Last Name:TRICE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 W THOMPKINS LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4891
Mailing Address - Country:US
Mailing Address - Phone:931-436-4642
Mailing Address - Fax:
Practice Address - Street 1:637 W THOMPKINS LN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4891
Practice Address - Country:US
Practice Address - Phone:931-436-4642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)