Provider Demographics
NPI:1205006434
Name:A1 MACSONS TRANSPORTATION
Entity Type:Organization
Organization Name:A1 MACSONS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCVICKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-878-4838
Mailing Address - Street 1:4434 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ECORSE
Mailing Address - State:MI
Mailing Address - Zip Code:48229-1681
Mailing Address - Country:US
Mailing Address - Phone:313-878-4838
Mailing Address - Fax:313-383-3606
Practice Address - Street 1:4434 7TH ST
Practice Address - Street 2:
Practice Address - City:ECORSE
Practice Address - State:MI
Practice Address - Zip Code:48229-1681
Practice Address - Country:US
Practice Address - Phone:313-878-4838
Practice Address - Fax:313-383-3606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL-1813343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)