Provider Demographics
NPI:1790597425
Name:INTEGRITY TRANSPORTATION AND CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:INTEGRITY TRANSPORTATION AND CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHEPARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-310-5682
Mailing Address - Street 1:1007 S MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61701-6350
Mailing Address - Country:US
Mailing Address - Phone:309-310-5682
Mailing Address - Fax:
Practice Address - Street 1:1007 S MORRIS AVE
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61701-6350
Practice Address - Country:US
Practice Address - Phone:309-310-5682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)