Provider Demographics
NPI:1134587363
Name:A1 EXPRESS INC.
Entity type:Organization
Organization Name:A1 EXPRESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:THERELL
Authorized Official - Last Name:SUMMAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-563-3556
Mailing Address - Street 1:260 DOAT ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14211-2041
Mailing Address - Country:US
Mailing Address - Phone:716-563-3556
Mailing Address - Fax:
Practice Address - Street 1:260 DOAT ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14211-2041
Practice Address - Country:US
Practice Address - Phone:716-563-3556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180-497-392343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)