Provider Demographics
NPI:1689074361
Name:T-N-E TRANSPORTATION LLC
Entity Type:Organization
Organization Name:T-N-E TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:616-233-0615
Mailing Address - Street 1:1932 BURLINGAME AVE SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49509-1246
Mailing Address - Country:US
Mailing Address - Phone:616-233-0615
Mailing Address - Fax:616-988-6425
Practice Address - Street 1:3322 LOUSMA DR SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49548-2200
Practice Address - Country:US
Practice Address - Phone:616-233-0615
Practice Address - Fax:616-988-6425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIB435067020401343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)