Provider Demographics
NPI:1982198834
Name:JUST IN TIME NON-EMERGENCY TRANSPORTATION
Entity Type:Organization
Organization Name:JUST IN TIME NON-EMERGENCY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:WASSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-609-7938
Mailing Address - Street 1:PO BOX 693512
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95269-3512
Mailing Address - Country:US
Mailing Address - Phone:209-609-7938
Mailing Address - Fax:209-957-0525
Practice Address - Street 1:2039 ANGELICO CIR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-8808
Practice Address - Country:US
Practice Address - Phone:209-609-7939
Practice Address - Fax:209-957-0525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18-00129277343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)