Provider Demographics
NPI:1083062772
Name:TONANJ
Entity Type:Organization
Organization Name:TONANJ
Other - Org Name:TONANJ SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANA
Authorized Official - Middle Name:OLUSHOLA
Authorized Official - Last Name:OWOLABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-750-9910
Mailing Address - Street 1:9062 PINEVIEW LN
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-1584
Mailing Address - Country:US
Mailing Address - Phone:219-750-9910
Mailing Address - Fax:
Practice Address - Street 1:9062 PINEVIEW LN
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-1584
Practice Address - Country:US
Practice Address - Phone:219-750-9910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TONANJ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle