Provider Demographics
NPI:1538476866
Name:T & N XPRESS TRANSPORTATION INC
Entity Type:Organization
Organization Name:T & N XPRESS TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-979-5522
Mailing Address - Street 1:73 WHITE OAKS RD
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1086
Mailing Address - Country:US
Mailing Address - Phone:708-979-5522
Mailing Address - Fax:815-534-5799
Practice Address - Street 1:73 WHITE OAKS RD
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1086
Practice Address - Country:US
Practice Address - Phone:708-979-5522
Practice Address - Fax:815-534-5799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)