Provider Demographics
NPI:1477287217
Name:EMPLOYEE BENEFIT BUSINESS GROUP INC
Entity Type:Organization
Organization Name:EMPLOYEE BENEFIT BUSINESS GROUP INC
Other - Org Name:OMNI TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:STINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-343-6186
Mailing Address - Street 1:1642 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-1546
Mailing Address - Country:US
Mailing Address - Phone:847-436-8623
Mailing Address - Fax:815-364-6224
Practice Address - Street 1:1642 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-1546
Practice Address - Country:US
Practice Address - Phone:847-436-8623
Practice Address - Fax:815-364-6224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker