1265242168 NPI number — EASY ROLLING TRANSPORTATION LLC

Table of content: MEGAN MAUREEN LOWERY MD (NPI 1003200023)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265242168 NPI number — EASY ROLLING TRANSPORTATION LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASY ROLLING TRANSPORTATION LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265242168
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9524 SHEPTON CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENRICO
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23294-5537
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-516-5286
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11357 NUCKOLS RD # 1092
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLEN ALLEN
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23059-5504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-516-5286
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/13/2025

Additional Information

Authorized Official

Authorized Official Last Name:
MOTLEY
Authorized Official First Name:
SILENA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGING MEMBER
Authorized Official Telephone Number:
804-516-5286

Provider Taxonomy Codes

  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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