Provider Demographics
NPI:1669039939
Name:PATRIOT TRANSPORTATION SERVICES,INC
Entity Type:Organization
Organization Name:PATRIOT TRANSPORTATION SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULNOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-402-5570
Mailing Address - Street 1:905 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-3163
Mailing Address - Country:US
Mailing Address - Phone:619-456-3080
Mailing Address - Fax:619-272-9883
Practice Address - Street 1:905 W MAIN ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-3163
Practice Address - Country:US
Practice Address - Phone:619-402-5570
Practice Address - Fax:619-272-9883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)