Provider Demographics
NPI:1619638699
Name:DTB SENIOR TRANSPORTING
Entity Type:Organization
Organization Name:DTB SENIOR TRANSPORTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DYTANYON
Authorized Official - Middle Name:H
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-642-7054
Mailing Address - Street 1:1450 LANGHORNE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-2516
Mailing Address - Country:US
Mailing Address - Phone:540-642-7054
Mailing Address - Fax:434-818-0869
Practice Address - Street 1:1450 LANGHORNE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-2516
Practice Address - Country:US
Practice Address - Phone:540-642-7054
Practice Address - Fax:434-818-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)