Healthcare Provider Details

I. General information

NPI: 1952629784
Provider Name (Legal Business Name): BUZY AS A BEAVER TRANSPORTATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 05/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6730 S LANGLEY AVE
CHICAGO IL
60637-4137
US

IV. Provider business mailing address

6730 S LANGLEY AVE
CHICAGO IL
60637-4137
US

V. Phone/Fax

Practice location:
  • Phone: 773-324-1422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. NICHOLE J DRIVER
Title or Position: PRESIDENT
Credential:
Phone: 773-230-3155