Provider Demographics
NPI:1184012478
Name:DANIEL MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:DANIEL MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-202-1518
Mailing Address - Street 1:2609 CROOKS RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4714
Mailing Address - Country:US
Mailing Address - Phone:586-202-1518
Mailing Address - Fax:248-200-7344
Practice Address - Street 1:2609 CROOKS RD
Practice Address - Street 2:SUITE 250
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4714
Practice Address - Country:US
Practice Address - Phone:586-202-1518
Practice Address - Fax:248-200-7344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)