Provider Demographics
NPI:1770352312
Name:CJR2 EXPRESS LINE SHUTTLE, LLC
Entity type:Organization
Organization Name:CJR2 EXPRESS LINE SHUTTLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:667-688-1110
Mailing Address - Street 1:712 W FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1112
Mailing Address - Country:US
Mailing Address - Phone:667-688-1110
Mailing Address - Fax:
Practice Address - Street 1:712 W FAYETTE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1112
Practice Address - Country:US
Practice Address - Phone:667-688-1110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)