Provider Demographics
NPI:1629407986
Name:NATIONWIDE PATIENT TRANSPORT , L.L.C.
Entity Type:Organization
Organization Name:NATIONWIDE PATIENT TRANSPORT , L.L.C.
Other - Org Name:DMV PATIENT TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER/ORGANIZER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHATAA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202240-389-3688
Mailing Address - Street 1:1300 44TH PL SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-5711
Mailing Address - Country:US
Mailing Address - Phone:240-389-3688
Mailing Address - Fax:888-422-4629
Practice Address - Street 1:1300 44TH PL SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5711
Practice Address - Country:US
Practice Address - Phone:240-389-3688
Practice Address - Fax:888-422-4629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)