Provider Demographics
NPI:1821852518
Name:REESE TRANSPORT, LLC
Entity Type:Organization
Organization Name:REESE TRANSPORT, LLC
Other - Org Name:REESE TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:RION
Authorized Official - Last Name:STEPANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-639-8394
Mailing Address - Street 1:915 SHELBYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-4338
Mailing Address - Country:US
Mailing Address - Phone:931-639-8394
Mailing Address - Fax:
Practice Address - Street 1:915 SHELBYVIEW DR
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-4338
Practice Address - Country:US
Practice Address - Phone:931-639-8394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)