Provider Demographics
NPI:1508215617
Name:PAUL WARE
Entity Type:Organization
Organization Name:PAUL WARE
Other - Org Name:TAP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:AD
Authorized Official - Last Name:WARE
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:440-990-6236
Mailing Address - Street 1:8349 FORTNEY ROAD
Mailing Address - Street 2:
Mailing Address - City:ORWELL
Mailing Address - State:OH
Mailing Address - Zip Code:44076
Mailing Address - Country:US
Mailing Address - Phone:440-990-6236
Mailing Address - Fax:
Practice Address - Street 1:8349 FORTNEY RD
Practice Address - Street 2:
Practice Address - City:ORWELL
Practice Address - State:OH
Practice Address - Zip Code:44076-9718
Practice Address - Country:US
Practice Address - Phone:440-990-6236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSV650418343900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle