Provider Demographics
NPI:1508036765
Name:EZ TRANSPORTATION SERIVICES
Entity Type:Organization
Organization Name:EZ TRANSPORTATION SERIVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAIKAO
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-274-2784
Mailing Address - Street 1:974 WESTERN AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-5139
Mailing Address - Country:US
Mailing Address - Phone:651-274-2784
Mailing Address - Fax:651-488-0500
Practice Address - Street 1:974 WESTERN AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-5139
Practice Address - Country:US
Practice Address - Phone:651-274-2784
Practice Address - Fax:651-488-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)