Provider Demographics
NPI:1356781652
Name:ALL TRAVEL TRANSPORTATION, INC
Entity type:Organization
Organization Name:ALL TRAVEL TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-595-5282
Mailing Address - Street 1:3895 BODIA DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-6516
Mailing Address - Country:US
Mailing Address - Phone:586-265-7313
Mailing Address - Fax:586-510-4334
Practice Address - Street 1:3895 BODIA DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-6516
Practice Address - Country:US
Practice Address - Phone:248-595-5282
Practice Address - Fax:586-510-4334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)