Healthcare Provider Details

I. General information

NPI: 1679809271
Provider Name (Legal Business Name): REGULATORS TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2009
Last Update Date: 11/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13927 N 134TH LN
SURPRISE AZ
85379-6468
US

IV. Provider business mailing address

13927 N 134TH LN
SURPRISE AZ
85379-6468
US

V. Phone/Fax

Practice location:
  • Phone: 623-707-9292
  • Fax:
Mailing address:
  • Phone: 623-707-9292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberD02321619
License Number StateAZ

VIII. Authorized Official

Name: MR. MICHAEL SHANE PETERS II
Title or Position: OWNER/OPERATOR/GENERAL PARTNER
Credential:
Phone: 623-707-9292