Provider Demographics
NPI:1376729582
Name:MED JETS NOW LLC
Entity Type:Organization
Organization Name:MED JETS NOW LLC
Other - Org Name:RES Q JETS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-258-5073
Mailing Address - Street 1:5605 PORTAGE RD
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49002-1721
Mailing Address - Country:US
Mailing Address - Phone:941-258-5073
Mailing Address - Fax:
Practice Address - Street 1:5605 PORTAGE RD
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49002-1721
Practice Address - Country:US
Practice Address - Phone:941-258-5073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI391038OtherSTATE