Provider Demographics
NPI:1508615139
Name:PROFICIENCY VIRTUAL ADMINISTRATIVE SOLUTIONS LLC.
Entity type:Organization
Organization Name:PROFICIENCY VIRTUAL ADMINISTRATIVE SOLUTIONS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:DERIC
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:317-203-9742
Mailing Address - Street 1:1133 N ELDER AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-3117
Mailing Address - Country:US
Mailing Address - Phone:317-203-9742
Mailing Address - Fax:
Practice Address - Street 1:1133 N ELDER AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-3117
Practice Address - Country:US
Practice Address - Phone:317-203-9742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)