Provider Demographics
NPI:1497081186
Name:JOINER ENTERPRISES INC
Entity Type:Organization
Organization Name:JOINER ENTERPRISES INC
Other - Org Name:JOINER ENTERPRISES TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JOINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-221-4562
Mailing Address - Street 1:7650 S YATES BLVD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-4127
Mailing Address - Country:US
Mailing Address - Phone:773-221-4562
Mailing Address - Fax:773-734-9425
Practice Address - Street 1:7650 S. YATES
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-4127
Practice Address - Country:US
Practice Address - Phone:773-221-4562
Practice Address - Fax:773-734-9425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL412205343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========-001Medicaid