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NPI Code Detail

MEDICARE: PRAETORIAN TRANSPORTATION LLC

MEDICARE: PRAETORIAN TRANSPORTATION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1427523794
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRAETORIAN TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 341 FORT EDWARD DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-4499
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6100 OAK TREE BLVD STE 200
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-6914
Country : US
Telephone Number : 330-615-1957
Fax Number : 330-752-0698
Authorized Official
Title or Position : DIRECTOR/OWNER
Name : NWACHUKWU EKEOCHA
Credential :
Telephone Number : 469-386-5476
Provider Enumeration Date : 10/12/2018
Last Update Date : 10/28/2021

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Directions to “PRAETORIAN TRANSPORTATION LLC ” Practice Location

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