Provider Demographics
NPI:1346626710
Name:PROFESSIONAL TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:PROFESSIONAL TRANSPORTATION, INC.
Other - Org Name:PTI
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT TRANSPORTATION
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:MCCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-459-8745
Mailing Address - Street 1:3700 E MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-2240
Mailing Address - Country:US
Mailing Address - Phone:812-459-8745
Mailing Address - Fax:812-485-3653
Practice Address - Street 1:3700 E MORGAN AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-2240
Practice Address - Country:US
Practice Address - Phone:812-459-8745
Practice Address - Fax:812-485-3653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)