Provider Demographics
NPI:1568989705
Name:MITCHELL, MARQUIS D (M&S TRANSPORT PLUS)
Entity Type:Individual
Prefix:MR
First Name:MARQUIS
Middle Name:D
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:M&S TRANSPORT PLUS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8278 CHALMERS AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-2329
Mailing Address - Country:US
Mailing Address - Phone:313-629-9397
Mailing Address - Fax:
Practice Address - Street 1:7252 STUDEBAKER AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-4983
Practice Address - Country:US
Practice Address - Phone:313-629-9397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No172A00000XOther Service ProvidersDriver
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No251E00000XAgenciesHome Health
No372500000XNursing Service Related ProvidersChore Provider