Provider Demographics
NPI:1093109191
Name:CHARLOTTE METRO TRANSPORTATION, LLP
Entity Type:Organization
Organization Name:CHARLOTTE METRO TRANSPORTATION, LLP
Other - Org Name:CHARLOTTE METRO TRANSPORTATION, LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:NYAN
Authorized Official - Last Name:DOE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:704-430-2533
Mailing Address - Street 1:6634 CHESTNUT OAK LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-4071
Mailing Address - Country:US
Mailing Address - Phone:704-497-7931
Mailing Address - Fax:
Practice Address - Street 1:6634 CHESTNUT OAK LANE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215
Practice Address - Country:US
Practice Address - Phone:704-497-7931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
N/AOtherN/A