Provider Demographics
NPI:1578286035
Name:NEXSTEP TRANSPORTATION
Entity Type:Organization
Organization Name:NEXSTEP TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:COLBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-352-9139
Mailing Address - Street 1:172 COLUMBIA WAY APT F
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-5644
Mailing Address - Country:US
Mailing Address - Phone:209-352-9139
Mailing Address - Fax:209-289-0965
Practice Address - Street 1:172 COLUMBIA WAY APT F
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-5644
Practice Address - Country:US
Practice Address - Phone:209-352-9139
Practice Address - Fax:209-289-0965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle