Provider Demographics
NPI:1861830424
Name:SHAPIRO HOLDINGS LLC
Entity Type:Organization
Organization Name:SHAPIRO HOLDINGS LLC
Other - Org Name:INDEPENDENCE AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE-PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-896-9920
Mailing Address - Street 1:136 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-3753
Mailing Address - Country:US
Mailing Address - Phone:856-896-9920
Mailing Address - Fax:856-293-1537
Practice Address - Street 1:136 W BROAD ST
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-3753
Practice Address - Country:US
Practice Address - Phone:856-896-9920
Practice Address - Fax:856-293-1537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ06110183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport