Provider Demographics
NPI:1629334842
Name:DI'KURT MEDICAL TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:DI'KURT MEDICAL TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DINITA
Authorized Official - Middle Name:CHARMON
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-654-7318
Mailing Address - Street 1:103 LONGLEAF CIR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71202-6105
Mailing Address - Country:US
Mailing Address - Phone:318-654-7318
Mailing Address - Fax:318-600-3952
Practice Address - Street 1:103 LONGLEAF CIR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-6105
Practice Address - Country:US
Practice Address - Phone:318-654-7318
Practice Address - Fax:318-600-3952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle