Provider Demographics
NPI:1346761483
Name:EASY WAY MEDICAL TRANSPORTATION SERVICE
Entity Type:Organization
Organization Name:EASY WAY MEDICAL TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEKOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSUNLAKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-214-7137
Mailing Address - Street 1:PO BOX 724051
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31139-1051
Mailing Address - Country:US
Mailing Address - Phone:757-214-7131
Mailing Address - Fax:
Practice Address - Street 1:2306 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-4549
Practice Address - Country:US
Practice Address - Phone:757-214-7131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)