Provider Demographics
NPI:1396190583
Name:HIS SON'S TRANSPORTATIONS LLC
Entity Type:Organization
Organization Name:HIS SON'S TRANSPORTATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-361-0889
Mailing Address - Street 1:3125 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-2170
Mailing Address - Country:US
Mailing Address - Phone:225-361-0889
Mailing Address - Fax:225-358-6783
Practice Address - Street 1:3125 MONROE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-2170
Practice Address - Country:US
Practice Address - Phone:225-361-0889
Practice Address - Fax:225-358-6783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========OtherEMPLOYER IDENTIFICATION NUMBER