Healthcare Provider Details
I. General information
NPI: 1225279375
Provider Name (Legal Business Name): APPLE TRANSPORTATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2009
Last Update Date: 03/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7906 S CRANDON AVE STE 7
CHICAGO IL
60617-1146
US
IV. Provider business mailing address
7906 S CRANDON AVE STE 7
CHICAGO IL
60617-1146
US
V. Phone/Fax
- Phone: 312-285-7271
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343800000X |
| Taxonomy | Secured Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MALLIK
SINGAREDDY
Title or Position: PRESIDENT
Credential:
Phone: 312-285-7271