1841509288 NPI number — AAA MEDICAL TRASPORTATION

Table of content: (NPI 1841509288)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841509288 NPI number — AAA MEDICAL TRASPORTATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AAA MEDICAL TRASPORTATION
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:
1841509288
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 401450
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
REDFORD
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48240-9450
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-377-2303
Provider Business Mailing Address Fax Number:
313-730-0660

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
355 CHERRY VALLEY DR
Provider Second Line Business Practice Location Address:
Q14
Provider Business Practice Location Address City Name:
INKSTER
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48141-1494
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-377-2303
Provider Business Practice Location Address Fax Number:
313-730-0330
Provider Enumeration Date:
10/04/2010

Additional Information

Authorized Official

Authorized Official Last Name:
MUSTAFA
Authorized Official First Name:
ABDELRAOUF
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
313-377-2303

Provider Taxonomy Codes

  • Taxonomy code: 343800000X , with the licence number:  3438 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com