Provider Demographics
NPI:1235753005
Name:BONDS, JAMIE D (NEMT PROVIDER)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:D
Last Name:BONDS
Suffix:
Gender:F
Credentials:NEMT PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11168 REGENCY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-2605
Mailing Address - Country:US
Mailing Address - Phone:985-474-5668
Mailing Address - Fax:
Practice Address - Street 1:11168 REGENCY AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-2605
Practice Address - Country:US
Practice Address - Phone:985-474-5668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-07
Last Update Date:2020-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA010793176347C00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle