Provider Demographics
NPI:1619225877
Name:DS ONTIME TRANSPORTATION INC.
Entity Type:Organization
Organization Name:DS ONTIME TRANSPORTATION INC.
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO.
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:LIMO,CERTIFIED
Authorized Official - Phone:313-887-1299
Mailing Address - Street 1:8905 E JEFFERSON AVE
Mailing Address - Street 2:SUITE #903
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-4182
Mailing Address - Country:US
Mailing Address - Phone:313-887-1299
Mailing Address - Fax:313-887-9981
Practice Address - Street 1:8905 E JEFFERSON AVE
Practice Address - Street 2:SUITE #903
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-4182
Practice Address - Country:US
Practice Address - Phone:313-887-1299
Practice Address - Fax:313-887-9981
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DS ONTIME TRANSPORTATION INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2935343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)