Provider Demographics
NPI:1184334187
Name:HOLLINS, JAVION L
Entity type:Individual
Prefix:MR
First Name:JAVION
Middle Name:L
Last Name:HOLLINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22765 KENWYCK DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-4765
Mailing Address - Country:US
Mailing Address - Phone:313-595-1660
Mailing Address - Fax:
Practice Address - Street 1:22765 KENWYCK DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-4765
Practice Address - Country:US
Practice Address - Phone:313-595-1660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-30
Last Update Date:2023-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)