Provider Demographics
NPI:1447208764
Name:C & SQ TRANSPORT
Entity Type:Organization
Organization Name:C & SQ TRANSPORT
Other - Org Name:CALVIN B. QUESENBERRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:QUESENBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:423-474-3788
Mailing Address - Street 1:204 ALANIA CT
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-6317
Mailing Address - Country:US
Mailing Address - Phone:423-474-3788
Mailing Address - Fax:423-474-6388
Practice Address - Street 1:204 ALANIA CT
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-6317
Practice Address - Country:US
Practice Address - Phone:423-474-3788
Practice Address - Fax:423-474-6388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0014932343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4027453OtherBLUE CROSS BLUE SHIELD