Provider Demographics
NPI:1568724383
Name:FREESTYLE TRANSPORTATION
Entity Type:Organization
Organization Name:FREESTYLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CVETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEKSANDRIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-444-3533
Mailing Address - Street 1:20 SEMINOLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE HIAWATHA
Mailing Address - State:NJ
Mailing Address - Zip Code:07034-2805
Mailing Address - Country:US
Mailing Address - Phone:973-444-3533
Mailing Address - Fax:973-588-3990
Practice Address - Street 1:20 SEMINOLE AVE
Practice Address - Street 2:
Practice Address - City:LAKE HIAWATHA
Practice Address - State:NJ
Practice Address - Zip Code:07034-2805
Practice Address - Country:US
Practice Address - Phone:973-444-3533
Practice Address - Fax:973-588-3990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3416L0300XTransportation ServicesAmbulanceLand Transport
No344600000XTransportation ServicesTaxi
No347E00000XTransportation ServicesTransportation Broker